Individual
JOHN ALLISON HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 S MONROE ST, ER DEPT., ENID, OK 73701-7211
(580) 233-2300
(405) 749-4561
Mailing address
4401 W MEMORIAL RD, SUITE 121, OKLAHOMA CITY, OK 73134-1785
(405) 751-4664
(405) 751-3183
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20436
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100207080A
—
OK
05
—
100207080C
—
OK
Enumeration date
04/06/2006
Last updated
09/19/2012
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