Evelyn L Henry MD

NPI 1083792345 - Internal Medicine - 207R00000X

NPI Details
NPI 1083792345
Gender Female
Enumeration Date 11/02/2006
Last Updated 01/15/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1210 NW 16TH ST
FRUITLAND ID, 83619-2202, US
Phone (208) 452-8600
Fax
Business Location
190 E BANNOCK ST
BOISE ID, 83712-6241, US
Phone (208) 381-2222
Fax (541) 664-6051
Toxanomy
Taxonomy Code 207R00000X
License State Oregon
License Number MD16340
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According to our database, Evelyn L Henry MD NPI is 1083792345, taxonomy code is 207R00000X and license number is MD16340, license state is located at Oregon. Evelyn L Henry MD physically located at 1210 Nw 16th St, Fruitland ID, 83619-2202. NPI Number Evelyn L Henry MD has the Individual type.

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1083792345 NPI number is provided on an as is basis without warranty of any kind. 1083792345 is maintained by the National Plan & Provider Enumeration System. The contents of Evelyn L Henry MD are for informational purposes only.