Theodore L Hetrick Jr., MD
Emergency Medicine in Lewistown, PA. Individual provider (NPI-1).
NPI number1619904497
StatusActive
Last updated in NPPESFeb 12, 2008
Details
- NPI
- 1619904497
- Entity type
- Individual (NPI-1)
- Name
- Theodore L Hetrick Jr.
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2006
- Last updated
- Feb 12, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | MD018356E | PA | Yes |
Practice location
400 Highland AveLewistown, PA 17044-1167
Phone 717-242-7180 · Fax 717-242-7299
Mailing address
400 Highland AveLewistown, PA 17044-1167
Phone 717-242-7180 · Fax 717-242-7299
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