Organization
GUY MICHAEL HENRY, M.D., P.A.
Active
Other names
Grace Clinic For Women
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUY MICHAEL HENRY M.D. (OWNER)
(501) 225-9905
Entity
Organization
Contact information
Practice address
9600 LILE DR, DOCTOR'S PARK BLDG. SUITE 250, LITTLE ROCK, AR 72205-6326
(501) 225-9905
(501) 225-3323
Mailing address
9600 LILE DR, DOCTOR'S PARK BLDG. SUITE 250, LITTLE ROCK, AR 72205-6326
(501) 225-9905
(501) 225-3323
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R-3877
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163053002
—
AR
Enumeration date
05/28/2006
Last updated
06/24/2008
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