Male or Other

Scott M. Henry DPM

Podiatrist in Frederick, MD(View on Map)

Full Name

Scott M Henry DPM

NPI Number

1255324539

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/23/2005

Specialties

(Taxonomies)

Code

213E00000X
213ES0103X

Primary Taxonomy

Yes
No

Licenses

State

Maryland
Pennsylvania

License Number

01223
SC004183R

Contact
Information

Purpose

Mailing
Location

Address

7101 GUILFORD DR #204
7101 GUILFORD DR #204

City

Frederick
Frederick

State

MD
MD

Postal Code

21704-5930
21704-5930

Country

US
US

Telephone Number

(301) 694-8880
(301) 694-8880

Identifiers

Identifier

1017481350001
0015596180002
410156100
549685364
1265459606

Identifier State

PA
PA
MD
MD
PA

Identifier Issuer

Unknown
Unknown
Unknown
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/30/2016

Provider Address

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