Terry W Henrie, PA-C

NPI #1689644098 in Philip, South Dakota

Provider Information

NPI Number: 1689644098
Entity Type: Individual
Name: Terry W Henrie, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: PA-C
Enumeration Date: Jan 26, 2006
Last Updated: Jun 24, 2008

Practice Location

Address: 503 W PINE ST
City: Philip
State: South Dakota
ZIP Code: 57567-3300
Phone: (605) 859-2566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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