Individual
MELVIN L HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 S CEDAR ST, SUITE 301 CARDIAC STUDY CENTER, INC. P.S., TACOMA, WA 98405-2308
(253) 572-7320
(253) 627-3191
Mailing address
1901 S CEDAR ST, SUITE 301 CARDIAC STUDY CENTER, INC. P.S., TACOMA, WA 98405-2308
(253) 572-7320
(253) 627-3191
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00010897
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1364207
—
WA
Enumeration date
12/09/2005
Last updated
06/21/2012
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