Individual
HENRY LILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
906 BROADWAY ST, LITTLE ROCK, AR 72201-4126
(051) 374-7674
(501) 374-5664
Mailing address
906 BROADWAY ST, LITTLE ROCK, AR 72201-4126
(051) 374-7674
(501) 374-5664
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C-2995
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110561001
—
AR
01
—
300104312
RAILROAD MEDICARE
AR
Enumeration date
10/13/2006
Last updated
01/06/2014
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