Whalio Doctors

NPI 1013025535

Marvin Graves Henderson, MD

Practitioner Anesthesiology Physician Omaha, NE

Practice location

Address
6901 N 72 Street, Omaha, NE 68122
Phone
(402) 778-9738
Fax
(402) 334-2849
Mailing address
PO Box 34310, Omaha, NE 68134

Registered specialties (2)

Anesthesiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 16232 (NE)
Anesthesiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 24054 (IA)

Registry record

NPI
1013025535
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Aug 2006
Record last updated
19 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.