Dr CHARLES T HENNEMEYER MD is a male medical professional, specializing in Diagnostic Radiology. He graduated in 2001 from Saint Louis University School Of Medicine.
BANNER UNIVERSITY MEDICAL GROUP
2800 E AJO WAY
TUCSON
AZ
857136204
Tel:
| Npi | 1548209539 |
| Pac Id | 7012927700 |
| Professional Enrollment Id | I20120521000102 |
| Last Name | HENNEMEYER |
| First Name | CHARLES |
| Middle Name | T |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialty 1 | INTERVENTIONAL RADIOLOGY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Organization Legal Name | BANNER UNIVERSITY MEDICAL GROUP |
| Group Practice Pac Id | 7719899871 |
| Number Of Group Practice Members | 663 |
| Line 1 Street Address | 2800 E AJO WAY |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | TUCSON |
| State | AZ |
| Zip Code | 857136204 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 030064 |
| Hospital Affiliation Lbn 1 | BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS |
| Hospital Affiliation Ccn 2 | 030111 |
| Hospital Affiliation Lbn 2 | BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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