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Individual

DR. WENDELL HARRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1441 CONSTITUTION BLVD, SALINAS, CA 93906-3100
(831) 755-4111
Mailing address
PO BOX 2879, SALINAS, CA 93902-2879
(831) 755-6334

Taxonomy

Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
A62779
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A62779
CALIFORNIA LICENSE
CA
Enumeration date
10/14/2006
Last updated
07/08/2017
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