| |
1716 E 12th St, The Dalles, OR 97058-3137 | |
(541) 296-1006 | |
(541) 298-1613 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 1716 E 12th St, The Dalles, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922379379 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
1716 E 12th St, The Dalles, OR 97058-3137 Ph: (541) 296-1006 | 1716 E 12th St, The Dalles, OR 97058-3137 Ph: (541) 296-1006 |
Dr. Kenneth Webster Hegewald, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1715 E 12th St, The Dalles, OR 97058 Phone: 541-296-2294 |