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Individual

DR. BRANDON ALLEN HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2658
(951) 782-3039
Mailing address
3660 ARLINGTON AVE, RIVERSIDE, CA 92506-3987

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
080805
GA
208000000X
Pediatrics Physician
Primary
A135108
CA

Other

Enumeration date
04/12/2013
Last updated
02/25/2020
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