Dr. Matthew Henry, DO
Family Medicine in Apo, AE. Individual provider (NPI-1).
NPI number1013399005
StatusActive
Last updated in NPPESOct 6, 2025
Details
- NPI
- 1013399005
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew Henry
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 25, 2015
- Certification date
- Oct 6, 2025
- Last updated
- Oct 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 1580 | NE | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
48 MdgUnit 5115
Apo, AE 09461-5115
Phone 314-226-8124
Mailing address
Unit 5024Apo, AP 96319-5024
Other practice locations
Unit 5024
Apo, AP 96319-5024
Apo, AP 96319-5024
Phone 315-226-6111
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