Individual
AUSTIN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
(858) 565-9666
Mailing address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
(858) 565-9666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A16320
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578983714
NPI
WA
Enumeration date
04/25/2014
Last updated
05/20/2021
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