Individual
HARRY MCCORRY HENDERSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2929 HEALTH CENTER DR, SAN DIEGO, CA 92123-2762
(858) 939-6621
(858) 874-5684
Mailing address
2929 HEALTH CENTER DR, SAN DIEGO, CA 92123-2762
(858) 939-6621
(858) 874-5684
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G36448
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G364480
—
CA
Enumeration date
08/16/2006
Last updated
06/19/2013
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