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Lee Frederic Henry, DO

Radiology, Body Imaging in Pella, IA. Individual provider (NPI-1).

NPI number1528036845
StatusActive
Last updated in NPPESOct 15, 2007

Details

NPI
1528036845
Entity type
Individual (NPI-1)
Name
Lee Frederic Henry
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Mar 11, 2006
Last updated
Oct 15, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085B0100X Radiology, Body Imaging02476IAYes

Practice location

404 Jefferson St
Pella, IA 50219-1291

Phone 641-628-3150 · Fax 641-628-8901

Mailing address

404 Jefferson St
Pella, IA 50219-1291

Phone 641-628-3150 · Fax 641-628-8901

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