Individual
DEBORAH HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3250 PLAZA DR, SOUTH SIOUX CITY, NE 68776-3144
(402) 412-4220
(402) 494-1365
Mailing address
814 PIERCE ST, STE 300, SIOUX CITY, IA 51101-1058
(712) 226-2600
(712) 226-2605
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085002741
IL
Other
Enumeration date
10/09/2006
Last updated
08/27/2014
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