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NPI Code Detail

MEDICARE: DR. BRIAN S. HENRY D.C.

MEDICARE:  DR. BRIAN S. HENRY  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor7378AZ

General Provider Information

NPI Number : 1316923295
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN S. HENRY D.C.
Provider Business Mailing Address
First Line : 13825 S 41ST WAY
Second Line :
City : PHOENIX
State : AZ
Zip : 85044-4665
Country : US
Telephone Number : 480-726-2250
Fax Number : 480-855-6121
Provider Business Practice Location Address
First Line : 600 S DOBSON RD
Second Line : BLDG. E, STE. 38
City : CHANDLER
State : AZ
Zip : 85224-5678
Country : US
Telephone Number : 480-726-2250
Fax Number : 480-855-6121
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2005
Last Update Date : 07/09/2007

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Directions to “ DR. BRIAN S. HENRY D.C.” Practice Location

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