Provider Demographics
NPI:1770593501
Name:HENTZ, VINCENT RODNEY (MD)
Entity type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:RODNEY
Last Name:HENTZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:770 WELCH RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1511
Mailing Address - Country:US
Mailing Address - Phone:650-723-6796
Mailing Address - Fax:650-723-6786
Practice Address - Street 1:770 WELCH RD
Practice Address - Street 2:SUITE 400
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1511
Practice Address - Country:US
Practice Address - Phone:650-723-6796
Practice Address - Fax:650-723-6786
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC321052082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA34815Medicare UPIN