Organization
T R HENRETTA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS R HENRETTA (PRESIDENT)
(540) 343-3625
Entity
Organization
Contact information
Practice address
1201 FRANKLIN RD SW, ROANOKE, VA 24016-4605
(540) 343-3625
(540) 343-7765
Mailing address
1201 FRANKLIN RD SW, ROANOKE, VA 24016-4605
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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