Individual
HENRY MCNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
REGINALD HEBER FITZ HALL ROOM 335 915 CAMINO DE SALUD, ALBUQUERQUE, NM 87131
(314) 362-7440
Mailing address
REGINALD HEBER FITZ HALL ROOM 335 915 CAMINO DE SALUD, ALBUQUERQUE, NM 87131-0001
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
2014021937
MO
207ZP0101X
Anatomic Pathology Physician
2014025585
MO
390200000X
Student in an Organized Health Care Education/Training Program
MD462960
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RS2018-0350
NM
Other
Enumeration date
07/23/2014
Last updated
06/28/2018
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