Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAYMOND BRUCE HENTHORN, MD
ActiveRAYMOND BRUCE HENTHORN, MD is a 2083A0300X healthcare provider located in MARIETTA, Ohio. NPI 1720083066 is currently active in the NPPES registry. Verify at CMS.
2083A0300X · MARIETTA, OH
Registration Details
- NPI Number
- 1720083066
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2005 (21.214682314578 yrs)
- Last Updated
- Nov 24, 2021
- Licenses
-
35 048319 (OH)12681 (WV)35048319 (OH)
Practice Information
- Address
-
316 5TH STMARIETTA, OH, 457503027Browse OH providers · Browse ZIP 45750
- Phone
- 7403743556
- Fax
- 7403743577
- Primary Specialty
-
2083A0300X
2083A0300X
- Additional Specialty
- Emergency Medical Services
- Additional Specialty
- 2083A0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.