Jerry Tard Henry, DPM Valid NPI
Individual provider · Podiatrist · Las Vegas, NV
- NPI
- 1477661007
- Type
- Individual (Type 1)
- Primary specialty
- Podiatrist
- Specialty group
- Podiatric Medicine & Surgery Service Providers
- Taxonomy code
- 213E00000X
- License number
- 9406 (NV)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-08-25
- Last updated
- 2007-07-08
Practice location
341 N. Buffalo Drive, Suite A
Las Vegas, NV 89145
(702) 242-3870