Individual
DR. ANDREW GENE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62702-5324
(217) 525-5643
Mailing address
800 E CARPENTER ST, SPRINGFIELD, IL 62702-5324
(217) 525-5643
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036137484
IL
207L00000X
Anesthesiology Physician
2011015964
MO
Other
Enumeration date
06/26/2011
Last updated
01/18/2022
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