Individual
MR. DAVID S HENRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1444 COFFEE ROAD, MODESTO, CA 95355
(209) 572-2229
(209) 571-3321
Mailing address
1100 WICKFORD CIR, MODESTO, CA 95355
(209) 522-2235
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C395930
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C395930
—
CA
Enumeration date
06/12/2006
Last updated
07/08/2007
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