Organization
HENRY MEDICAL PLLC
Active
Other names
PHILIP R HENRY DO
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP R HENRY MD (OWNER)
(509) 483-3155
Entity
Organization
Contact information
Practice address
42 E ROWAN AVE, SUITE A, SPOKANE, WA 99207-1212
(509) 483-3155
(509) 483-3270
Mailing address
42 E ROWAN AVE, SUITE A, SPOKANE, WA 99207-1212
(509) 483-3155
(509) 483-3270
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DOOP00001500
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0160793
WA LABOR AND INDUSTRIES
WA
05
—
116060
—
WA
Enumeration date
12/07/2007
Last updated
12/07/2007
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