Individual
RICHARD EUGENE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
7241
NV
207KA0200X
Allergy Physician
Primary
M6017
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002736100
—
ID
05
—
002736101
—
ID
05
—
002736102
—
ID
Enumeration date
09/29/2005
Last updated
01/20/2010
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