Individual
DOUGLAS HETZLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
(831) 458-5640
Mailing address
PO BOX 1833, SANTA CRUZ, CA 95061-1833
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
C41078
CA
Other
Enumeration date
01/18/2006
Last updated
07/08/2007
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