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Organization
W.RAY HENDERSON MD INC
Active
Organization
W.RAY HENDERSON MD INC
Active
Other names
RENAISSANCE COSMETIC SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
RAY HENDERSON M.D. (MEDICAL DIRECTOR)
(760) 346-3810
Entity
Organization
Contact information
Practice address
73180 EL PASEO, PALM DESERT, CA 92260-4218
(760) 346-3810
(760) 346-3083
Mailing address
73180 EL PASEO, PALM DESERT, CA 92260-4218
(760) 346-3810
(760) 346-3083
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
C24144
CA
Other
Enumeration date
06/06/2007
Last updated
11/28/2011
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