Individual
MARK E HENCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
835 HOSPITAL RD, INDIANA, PA 15701-3629
(724) 357-7125
(724) 357-7482
Mailing address
7 ACEE DRIVE, NATRONA HEIGHTS, PA 15065
(800) 223-5544
(724) 294-3206
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
MD051219L
PA
2085N0904X
Nuclear Radiology Physician
MD051219L
PA
2085P0229X
Pediatric Radiology Physician
MD051219L
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD051219L
PA
2085R0204X
Vascular & Interventional Radiology Physician
MD051219L
PA
2085U0001X
Diagnostic Ultrasound Physician
MD051219L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015165300001
—
PA
01
—
678158
HIGHMARK
PA
Enumeration date
05/04/2006
Last updated
11/27/2007
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