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Organization

THOMAS L. HEDGE, M.D. A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHIRLEY VIOLA JOHNSON (ADMINISTRATOR)
(661) 618-1771
Entity
Organization

Contact information

Practice address
18300 ROSCOE BLVD 4IFL TOWER, NORTHRIDGE, CA 91325-4167
(818) 885-5342
(818) 727-1451
Mailing address
PO BOX 8300, NORTHRIDGE, CA 91327-8300
(661) 618-1771
(661) 287-9471

Taxonomy

Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary

Other

Enumeration date
02/20/2009
Last updated
02/20/2009
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