Individual
DR. ROBERT WILLIAM HENDERSON JR
Active
Individual
DR. ROBERT WILLIAM HENDERSON JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
G25042
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G250420
BLUE SHIELD
CA
05
—
00G250420
—
CA
01
—
00G250420G56
CAL OPTIMA
CA
01
—
300046333
RAIL ROAD MEDICARE
CA
Enumeration date
07/11/2006
Last updated
04/23/2014
Update your record
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