Individual
DR. DAVID W HENLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6200 N LA CHOLLA BLVD, TUSCON, AZ 85741
(520) 297-7826
(520) 544-0060
Mailing address
PO BOX 35808, TUSCON, AZ 85740
(520) 297-7826
(520) 544-0060
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
18559
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
E2609
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283896
—
AZ
01
—
AZ0265650
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
10/26/2005
Last updated
07/08/2007
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