Individual
HENRY KY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6850 N DURANGO DR, SUITE 406, LAS VEGAS, NV 89149
(702) 260-4525
(702) 869-0133
Mailing address
PO BOX 50150, HENDERSON, NV 89016
(702) 260-4525
(702) 869-0133
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
NV11724
NV
Other
Enumeration date
09/25/2006
Last updated
03/05/2008
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