Individual
DR. JOHN EASTON HENDRY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5525 DEWEY DR, SUITE 104, FAIR OAKS, CA 95628-3129
(916) 961-1373
(916) 961-1377
Mailing address
5525 DEWEY DR, SUITE 104, FAIR OAKS, CA 95628-3129
(916) 961-1373
(916) 961-1377
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G20774
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G207740
—
CA
Enumeration date
06/06/2006
Last updated
02/02/2009
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