Roy Randel Henneberg, MD

Practice location

Address

980 W Ironwood Dr Suite 304, Coeur D Alene, ID 83814

Phone

(208) 765-4888

Fax

(208) 667-8618

Mailing address

980 W Ironwood Dr STE 201, Coeur D Alene, ID 83814-2668

Registered specialties

Registry record

NPI

1114956216

Entity type

Individual

Sex (as registered)

Male

NPI issued

1 Jul 2006

Record last updated

14 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.