Individual
HENRY HUSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
288 W MAIN ST, DANVILLE, VA 24541-2848
(216) 255-5700
(216) 255-5701
Mailing address
23625 COMMERCE PARK, SUITE 204, BEACHWOOD, OH 44122-5845
(216) 255-5700
(216) 255-5701
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0102201330
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007204493
—
VA
01
—
180742
BC-DDIC
VA
01
—
460377
BC DRI
VA
01
—
89065TK
NC MCD DRI
VA
01
—
P00971821
RXR MCR
SC
Enumeration date
01/23/2006
Last updated
04/24/2012
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