T R Henretta MD PC

NPI #1548589773 in Roanoke, Virginia

Provider Information

NPI Number: 1548589773
Entity Type: Organization
Organization Name: T R Henretta MD PC
Primary Specialty: Surgery
Enumeration Date: May 27, 2010
Last Updated: May 27, 2010

Practice Location

Address: 1201 FRANKLIN RD SW
City: Roanoke
State: Virginia
ZIP Code: 24016-4605
Phone: (540) 343-3625

Authorized Official

Name: DR. THOMAS R HENRETTA
Title: PRESIDENT
Phone: (540) 343-3625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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