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Individual
HENRY IGDAL
Active
Individual
HENRY IGDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35141
NC
207R00000X
Internal Medicine Physician
38948
SC
208D00000X
General Practice Physician
Primary
38948
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NC2564
—
SC
Enumeration date
08/07/2006
Last updated
05/14/2018
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