Mark D Hegewald
Otolaryngology/Facial Plastic Surgery
34612 6th Ave S Suite 200
Federal Way
, Washington 98003-8723
Mark D Hegewald
Otolaryngology/Facial Plastic Surgery
34612 6th Ave S Suite 200
Federal Way
, Washington 98003-8723
(253) 661-2694
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Mark D Hegewald
- 34612 6th Ave S Suite 200
- Federal Way, WA
- Zip : 98003-8723
- Fax : (253) 661-2694
- Phone : (253) 661-2594
Second Address
- Mark D Hegewald
- 34612 6th Ave S Suite 200
- Federal Way, WA
- Zip : 98003-8723
- Fax : (253) 661-2694
- Phone : (253) 661-2594
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD00025475 | WA |
National Provider Identifier
| NPI | 1700825304 |
|---|---|
| Provider Name | Mark D Hegewald |
| First Address | Federal Way, WA 98003-8723 |
| Second Address | Federal Way, WA 98003-8723 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/06/2006 |
| Last Update Date | 29/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1056662 | (05) | WA |
| 1427128198 | GROUP NPI (01) | WA |
| A08750 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.