ROGER HENSON MD NPI 1053700161

NPI Information

ROGER HENSON MD is an adult medicine family medicine in Pensacola, FL. The provider is definition to come. ROGER HENSON MD NPI is 1053700161. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2995 LANGLEY AVE
PENSACOLA, FL
ZIP 32504-393
Phone: (850) 477-4634
Fax: (850) 857-7782

The provider's authorized official is Roger L Henson .
The authorized official title is Physician/owner and has the following contact phone number (850) 477-4634.

The CLIA number assigned to this NPI record is 10D0271125 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/13/2015 and was last updated on 1/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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