Individual
JULIE M HEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
5224 E I 240 SERVICE RD STE 201, OKLAHOMA CITY, OK 73135-2607
(405) 608-3800
(405) 628-6495
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1603
OK
363AM0700X
Medical Physician Assistant
1603
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200108420A
—
OK
Enumeration date
02/27/2007
Last updated
10/26/2022
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