Henry, Wallace

Henry, Wallace is an individual health care provider with primary practice located at 1055 S Stapley Dr , Mesa AZ 85204. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as his primary health care specialty. Henry, Wallace can be contacted via phone (480) 833-9100.

Contact Information

Primary practice address
1055 S Stapley Dr Mesa AZ 85204
Phone: (480) 833-9100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X Arizona

Profile Details

NPI number 1316311715
LBN Legal business name Henry, Wallace
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2015
Last updated Nov 23rd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers