Timothy B Hetzer, MD
Radiology, Diagnostic Radiology in Fairmont, WV. Individual provider (NPI-1).
NPI number1730188780
StatusActive
Last updated in NPPESJul 19, 2007
Details
- NPI
- 1730188780
- Entity type
- Individual (NPI-1)
- Name
- Timothy B Hetzer
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2005
- Last updated
- Jul 19, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 11569 | WV | Yes |
Practice location
700 Village DrFairmont, WV 26554-7985
Phone 304-366-2600
Mailing address
Po Box 890707Charlotte, NC 28289-0707
Phone 866-338-6463
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