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Individual

ROBERT ALLEN HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(501) 227-8000
(501) 320-1641
Mailing address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(501) 227-8000
(501) 320-1641

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C6618
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113641001
AR
01
686552
MEDICARE ID# FOR CHI ST. VINCENT LITTLE ROCK DIAGNOSTIC CLINIC
AR
Enumeration date
09/13/2006
Last updated
04/23/2019
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