Individual
DR. PATRICK RYAN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 DICKINSON ST, SAN DIEGO, CA 92103-6902
(803) 422-7377
Mailing address
410 DICKINSON ST, SAN DIEGO, CA 92103-6902
(803) 422-7377
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
71788
GA
Other
Enumeration date
07/24/2008
Last updated
06/16/2014
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