Individual
MICHAEL BRADFORD HENLEY
Active
Individual
MICHAEL BRADFORD HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD00025112
WA
207XX0801X
Orthopaedic Trauma Physician
Primary
MD00025112
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275619074
—
WA
01
—
7906
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/27/2006
Last updated
09/27/2011
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