Individual
ROBERT C. HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 CENTRAL SE, PMG EMERGENCY MEDICINE, ALBUQUERQUE, NM 87106
(505) 841-1125
(505) 841-1737
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
73-142
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8987
—
NM
Enumeration date
04/27/2007
Last updated
08/15/2008
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