| Dakota Hensley, | |
|
921 S 8th Ave Stop 8253, Pocatello, ID 83209-0002 | |
| (208) 282-4726 | |
| Not Available |
| Full Name | Dakota Hensley |
|---|---|
| Gender | Male |
| Speciality | Student In An Organized Health Care Education/training Program |
| Location | 921 S 8th Ave Stop 8253, Pocatello, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588346308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0904X | Radiology - Nuclear Radiology | 918273 (Oregon) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dakota Hensley, 921 S 8th Ave Stop 8253, Pocatello, ID 83209-0002 Ph: (208) 282-4726 | Dakota Hensley, 921 S 8th Ave Stop 8253, Pocatello, ID 83209-0002 Ph: (208) 282-4726 |
News Archive
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› Verified 4 days ago