ALEXANDER DANIEL HETRICK

POLSON, MT
NPI1255907580
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MT  MED-PHYS-LIC-132526)
Enumeration Date2021-05-27
Last Update Date2024-08-12
Business Address
ALEXANDER DANIEL HETRICK DO
6 13TH AVE E
POLSON, MT 59860-5315
Phone number: 406-883-5680
Mailing Address
ALEXANDER DANIEL HETRICK DO
PO BOX 12
LIBERTY LAKE, WA 99019-0012
Phone number: 866-747-2455
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