Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | S9000 | TX |
NPI | 1568421717 |
---|---|
Provider Name | David J. Hetzel |
First Address | Chandler, AZ 85246-6423 |
Second Address | Chandler, AZ 85224-5665 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 09/02/2022 |