| Timothy B Hetzer, MD | |
|
700 Village Dr, Fairmont, WV 26554-7985 | |
| (304) 366-2600 | |
| Not Available |
| Full Name | Timothy B Hetzer |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 700 Village Dr, Fairmont, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730188780 | NPI | - | NPPES |
| 0123299000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 11569 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy B Hetzer, MD Po Box 890707, Charlotte, NC 28289-0707 Ph: (866) 338-6463 | Timothy B Hetzer, MD 700 Village Dr, Fairmont, WV 26554-7985 Ph: (304) 366-2600 |
Deborah A Willard, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 700 Village Dr, Fairmont, WV 26554 Phone: 304-366-2600 | |
Gerardo M Lopez, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 700 Village Dr, Fairmont, WV 26554 Phone: 304-366-2600 | |
Dr. Roberto A Cunanan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1322 Locust Ave, Fairmont, WV 26554 Phone: 304-366-0700 Fax: 304-366-9529 | |
James A Ross, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Village Dr, Fairmont, WV 26554 Phone: 304-366-2600 | |
Dr. Mark A Hackney, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Village Dr, Fairmont, WV 26554 Phone: 304-366-2600 Fax: 304-366-2080 | |
Claudia A Goodwin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 700 Village Dr, Fairmont, WV 26554 Phone: 304-366-2600 | |
John A Leon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Village Dr, Fairmont, WV 26554 Phone: 304-366-2600 |