Individual
DR. CHRISTOPHER HOWARD HETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1451 YAUGER, SUITE 1 B, MOUNT VERNON, OH 43050
(740) 397-0700
(740) 392-4620
Mailing address
1330 COSHOCTON RD, MOUNT VERNON, OH 43050-1440
(740) 397-0700
(740) 392-4620
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
34.009569
OH
207YS0123X
Facial Plastic Surgery Physician
58.001596
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2999368
—
OH
Enumeration date
05/18/2007
Last updated
11/15/2012
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