Individual provider · Type 1 NPI

Austin Wade Henley, DO

Student in an Organized Health Care Education/Training Program · Stillwater, OK

NPI number 1619723178 Active

Practice location

809 S Walnut St
Stillwater, OK 74074-4226

Mailing address

4000 S Dixieland Rd Apt Q301
Rogers, AR 72758-1804

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619723178

Austin Wade Henley, DO's National Provider Identifier is 1619723178, issued on Apr 25, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stillwater, OK. The record was last updated on Apr 25, 2024.