Individual
DR. CRAIG T HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
405 GRAND AVE, DAYTON, OH 45405-4720
(937) 723-3200
(937) 723-5109
Mailing address
PO BOX 711131, CINCINNATI, OH 45271-1131
(937) 293-0247
(937) 293-0969
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34006560
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000064331
ANTHEM
OH
05
—
2053923
—
OH
Enumeration date
08/22/2006
Last updated
07/08/2007
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