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Individual

DR. JAMES ALLEN HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3547
(540) 725-5053
Mailing address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3547
(540) 725-5053

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
0101055117
VA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
M9400
ID
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
MD00044905
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1619954351
VA
05
7003411
WA
Enumeration date
12/23/2005
Last updated
11/29/2022
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