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Organization

KATHERINE A. TREHERNE, MD., PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT M. TREHERNE MD (OWNER)
(757) 827-5626
Entity
Organization

Contact information

Practice address
2207 EXECUTIVE DR, SUITE A, HAMPTON, VA 23666-2478
(757) 827-5626
(757) 827-3330
Mailing address
2207 EXECUTIVE DRIVE, SUITE A, HAMPTON, VA 23666-2478
(757) 827-5626
(757) 827-3330

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101037473
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005902134
VA
05
005902142
VA
01
259272
ANTHEM BCBS
VA
01
259273
ANTHEM BCBS
VA
Enumeration date
04/08/2008
Last updated
02/09/2011
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