DR. James Theodore Hennig, O.D.

NPI #1912008269 in Longview, Washington

Provider Information

NPI Number: 1912008269
Entity Type: Individual
Name: DR. James Theodore Hennig, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1230 7TH AVE
City: Longview
State: Washington
ZIP Code: 98632-3166
Phone: (360) 636-6238

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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