MR. John R. Henritze, PA-C

NPI #1386609410 in Bristol, Tennessee

Provider Information

NPI Number: 1386609410
Entity Type: Individual
Name: MR. John R. Henritze, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 20, 2006
Last Updated: Aug 27, 2021

Practice Location

Address: 340 STEELES RD
City: Bristol
State: Tennessee
ZIP Code: 37620-9532
Phone: (423) 282-9011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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