Individual
AMANDA ANNE HENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 29TH ST S, SUITE 101, GREAT FALLS, MT 59405-5316
(406) 761-7924
Mailing address
1400 29TH ST S, SUITE 101, GREAT FALLS, MT 59405-5316
(406) 761-7924
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
11389
MT
207V00000X
Obstetrics & Gynecology Physician
23590
OK
Other
Enumeration date
01/25/2007
Last updated
08/26/2016
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