Individual
MS. SUSAN ELAINE HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325 E FONTANERO ST, COLORADO SPRINGS, CO 80907
(719) 636-3829
(719) 636-1387
Mailing address
325 E FONTANERO ST, COLORADO SPRINGS, CO 80907
(719) 636-3829
(719) 636-1387
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
37503
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55200869
—
CO
Enumeration date
03/14/2006
Last updated
07/08/2007
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