Henry L Degive Md Mc Ps

NPI 1457422073 - Pediatrics - 208000000X

NPI Details
NPI 1457422073
Enumeration Date 11/13/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name HENRY L HENRY
Position PRESIDENT
Phone (360) 456-1600
Fax (360) 456-3827
Practice Location
3525 ENSIGN RD
SUITE K
OLYMPIA WA, 98506, US
Phone (360) 456-1600
Fax (360) 456-3827
Business Location
3525 ENSIGN RD
SUITE K
OLYMPIA WA, 98506, US
Phone (360) 456-1600
Fax (360) 456-3827
Toxanomy
Taxonomy Code 208000000X
License State Washington
License Number MD00017990
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According to our database, Henry L Degive Md Mc Ps NPI is 1457422073, taxonomy code is 208000000X and license number is MD00017990, license state is located at Washington. Henry L Degive Md Mc Ps physically located at 3525 Ensign Rd, Olympia WA, 98506. NPI Number 1033115704 has the healthcare provider type.

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1457422073 NPI number is provided on an as is basis without warranty of any kind. 1457422073 is maintained by the National Plan & Provider Enumeration System. The contents of Henry L Degive Md Mc Ps are for informational purposes only.