Individual
HENRY HUSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
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
Update your record
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