Individual provider · Type 1 NPI
Raymond Bruce Henthorn, MD
Addiction Medicine (Preventive Medicine) Physician · Marietta, OH
NPI number
1720083066
Active
Practice location
316 5th St
Marietta, OH 45750-3027
Fax (740) 374-3577
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 35 048319 (OH) |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 12681 (WV) |
| Addiction Medicine (Preventive Medicine) Physician Primary | 2083A0300X | 35048319 (OH) |
Addiction Medicine (Preventive Medicine) Physician: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
About NPI 1720083066
Raymond Bruce Henthorn, MD's National Provider Identifier is 1720083066, issued on Jun 14, 2005. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in Marietta, OH. The record was last updated on Nov 24, 2021.