| Doctor Name: | RICHARD EUGENE HENRY |
| NPI Number: | 1013904622 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 7241 |
| Business Practice Address: | 800 Falls Ave Suite 2 Twin Falls, ID - 833013366 |
| Business Phone Number: | 2087346091 |
| Business Fax Number: | 2087344654 |
| Mailing Address: | 800 Falls Ave, Suite 2 TWIN FALLS |
| State: | ID |
| Postal Code: | 833013366 |
| Phone Number: | 2087346091 |
| Fax Number: | 2087344654 |
| NPI Enumeration Date: | 09/29/2005 |
| NPI Last Update Date: | 01/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | 7241 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |