Individual
DR. DAVID EDWARD HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1753 W RIDGEWAY AVE STE 107, WATERLOO, IA 50701-4588
(319) 833-5907
Mailing address
1634 PLYMOUTH AVE, BRONX, NY 10461-4844
(808) 859-0892
(844) 804-3051
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301094689
MI
208600000X
Surgery Physician
5315041522
MI
208600000X
Surgery Physician
Primary
MD-50117
IA
208600000X
Surgery Physician
MD0000056454
TN
208600000X
Surgery Physician
MD18168
HI
208600000X
Surgery Physician
MD450954
PA
Other
Enumeration date
06/18/2009
Last updated
09/30/2022
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