Individual
MR. HENRY M DUHADWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSN, ANP
Contact information
Practice address
5000 MANCHESTER AVE, SAINT LOUIS, MO 63110-2012
(314) 747-5800
(314) 747-5866
Mailing address
1007 SUGAR CREEK CT, SAINT PETERS, MO 63376-7425
(314) 910-8460
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
75908
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427544606
—
MO
Enumeration date
04/18/2007
Last updated
07/08/2007
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