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Individual
ALAN R. THOMETZ
Active
Individual
ALAN R. THOMETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
6792
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001211
BCBS PIN
MT
01
—
0011883
MDCD PIN
MT
01
—
103698000
MDCD PIN
WY
01
—
312573
BCBS PIN
WY
01
—
8HZN67
MEDICARE CROW
MT
01
—
8HZP72
MEDICARE LG
MT
01
—
8HZP80
MEDICARE PRYOR
MT
Enumeration date
09/21/2006
Last updated
02/07/2022
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