Henry Physician Services Llc

NPI 1497013700 - Hospitalist - 208M00000X

NPI Details
NPI 1497013700
Enumeration Date 04/25/2012
Last Updated 01/14/2016
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name LISHA C LISHA
Position VP OF CONTRACTING
Phone (660) 885-5511
Fax
Practice Location
1600 N 2ND ST
CLINTON MO, 64735-1192, US
Phone (660) 885-5511
Fax
Business Location
200 CORPORATE BLVD
LAFAYETTE LA, 70508-3870, US
Phone (337) 354-1153
Fax
Toxanomy
Taxonomy Code 208M00000X
License State
License Number
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According to our database, Henry Physician Services Llc NPI is 1497013700, taxonomy code is 208M00000X Henry Physician Services Llc physically located at 1600 N 2nd St, Clinton MO, 64735-1192. NPI Number 1033115704 has the healthcare provider type.

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1497013700 NPI number is provided on an as is basis without warranty of any kind. 1497013700 is maintained by the National Plan & Provider Enumeration System. The contents of Henry Physician Services Llc are for informational purposes only.