DAVID R HENRY — Medicare Enrolled Provider (PRACTITIONER - PHYSICIAN ASSISTANT, IN)
DAVID R HENRY — Medicare Enrolled Provider (PRACTITIONER - PHYSICIAN ASSISTANT, IN) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: DAVID R HENRY; Type: Individual; NPI: 1003215047.
| Name | DAVID R HENRY |
|---|---|
| Type | Individual |
| NPI | 1003215047 |
| Provider type | PRACTITIONER - PHYSICIAN ASSISTANT |
| State | IN |
| Enrollment ID | I20140911002077 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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