Individual
MR. SHON PATRICK HUETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SSA
Contact information
Practice address
6796 IVY ST, SPRINGFIELD, OR 97478-7355
(406) 781-3079
Mailing address
6796 IVY ST, SPRINGFIELD, OR 97478-7355
(406) 781-3079
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-365
OR
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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