# ALAN R. THOMETZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1992804843
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 6792 | MT | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 02/07/2022

## 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 |