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Individual

ROY G HEDIGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
295 GARFIELD ST, LANDER, WY 82520
(307) 335-6451
(307) 335-6467
Mailing address
295 GARFIELD ST, LANDER, WY 82520
(307) 332-2357
(307) 332-4276

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5780A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112002600
WY
Enumeration date
12/20/2006
Last updated
12/27/2007
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