Organization
ROANOKE PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATHEW HENDERSON DO (OWNER)
(540) 613-8565
Entity
Organization
Contact information
Practice address
1901 DENNISTON AVE SW, ROANOKE, VA 24015-2023
(540) 613-8565
Mailing address
1901 DENNISTON AVE SW, ROANOKE, VA 24015-2023
(540) 613-8565
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
06/06/2023
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