Organization
MAX A HENRY MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAX ALAN HENRY M.D. (OWNER)
(812) 372-4463
Entity
Organization
Contact information
Practice address
1930 DOCTORS PARK DR, COLUMBUS, IN 47203-2219
(812) 372-4463
(812) 372-2802
Mailing address
1930 DOCTORS PARK DR, COLUMBUS, IN 47203-2219
(812) 372-4463
(812) 372-2802
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003452A
IN
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100052270
—
IN
05
—
200823550A
—
IN
Enumeration date
07/05/2007
Last updated
08/05/2013
Update your record
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