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Individual
HENRY Y UPTON
Active
Individual
HENRY Y UPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G238030
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G28030
—
CA
01
—
DC7365
RRM TEARSE GROUP
—
01
—
G23803
LICENSE
CA
01
—
P00207171
RRM PIN
—
01
—
ZZZ09989Z
BLUE SHIELD TEARSE GROUP
CA
Enumeration date
09/20/2006
Last updated
07/09/2007
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