Individual
DR. AUSTIN WADE HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
809 S WALNUT ST, STILLWATER, OK 74074-4226
(405) 591-4875
Mailing address
4000 S DIXIELAND RD APT Q301, ROGERS, AR 72758-1804
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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