Individual
DR. JACOB LEE HENRICHSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2270 W 16TH ST, SAFFORD, AZ 85546-4081
(319) 365-2223
(844) 801-5085
Mailing address
2270 W 16TH ST, SAFFORD, AZ 85546-4081
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R-11638
IA
207XP3100X
Pediatric Orthopaedic Surgery Physician
R-11638
IA
207XS0106X
Orthopaedic Hand Surgery Physician
R-11638
IA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
R-11638
IA
207XS0117X
Orthopaedic Surgery of the Spine Physician
R-11638
IA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
R-11638
IA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
R-11638
IA
207XX0801X
Orthopaedic Trauma Physician
R-11638
IA
Other
Enumeration date
06/06/2019
Last updated
06/11/2025
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