Individual
DR. STUART JOHN HETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4530 E MUIRWOOD DR, #111, PHOENIX, AZ 85048-7639
(480) 961-2365
(480) 961-2382
Mailing address
PO BOX 39179, PHOENIX, AZ 85069-9179
(602) 395-0718
(602) 277-8146
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
3103
AZ
Other
Enumeration date
08/11/2005
Last updated
03/31/2021
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