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Organization
S D HENRY MD INC
Active
Organization
S D HENRY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG NICOLL (ADMINISTRATOR)
(626) 797-8800
Entity
Organization
Contact information
Practice address
2319 E WASHINGTON BLVD STE 2, PASADENA, CA 91104-1945
(626) 797-8800
(626) 797-8575
Mailing address
2319 E WASHINGTON BLVD STE 2, PASADENA, CA 91104-1945
(626) 797-8800
(626) 797-8575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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