Individual
DR. ERIC HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2920 N 4TH ST, FLAGSTAFF, AZ 86004-1816
(928) 213-6100
(928) 774-4808
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003
(928) 213-6100
(928) 774-6687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41576
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415734
—
AZ
Enumeration date
10/28/2005
Last updated
05/18/2010
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