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Individual

FRANCES A HEDRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2315 8TH ST, LEWISTON, ID 83501-7301
(208) 746-1383
(208) 746-6348
Mailing address
2315 8TH ST, LEWISTON, ID 83501-7301
(208) 746-1383
(208) 746-6348

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
91-146
NM
207Q00000X
Family Medicine Physician
Primary
M7875
ID
207Q00000X
Family Medicine Physician
MD00038028
WA
207Q00000X
Family Medicine Physician
R8E66
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010005691
REGENCE BLUESHIELD
ID
01
1142664
DMERC
ID
01
132598
WA LABOR & INDUSTRY
WA
01
34199
BLUE CROSS
ID
01
805544400
HEATHLY CONNECTIONS
ID
05
805544400
ID
05
8246951
WA
01
841377860
MISCELLANEOUS INSURANCE
ID
Enumeration date
09/27/2006
Last updated
03/08/2016
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