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Individual

DR. HEBER PEART HOSTETTER III

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
190 S STATE STREET, SUITE A, WESTERVILLE, OH 43081-2200
(614) 882-2349
(614) 882-9005
Mailing address
190 S STATE ST REET, SUITE A, WESTERVILLE, OH 43081-2200
(614) 882-2349
(614) 882-9005

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-003329
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0695494
OH
01
34-003329
STATE LICENSE
OH
01
HO0533523
UPIN#
OH
Enumeration date
05/27/2005
Last updated
07/08/2007
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