Individual
MR. PHILIP ROGER HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
42 E ROWAN AVE, SUITE A, SPOKANE, WA 99207
(509) 483-3155
(509) 483-3270
Mailing address
42 E ROWAN AVE, SUITE A, SPOKANE, WA 99207
(509) 483-3155
(509) 483-3270
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0P0001500
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0160793
L & I
WA
05
—
1116060
—
WA
Enumeration date
01/10/2006
Last updated
11/25/2014
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