Organization
COAST FAMILY PRACTICE
Active
Other names
Andrew J. Henning
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW J HENNING MD (OWNER/PHYSICIAN)
(805) 928-3636
Entity
Organization
Contact information
Practice address
201 S MILLER ST, SUITE 103, SANTA MARIA, CA 93454-5248
(805) 928-3636
(805) 928-3608
Mailing address
201 S MILLER ST, SUITE 103, SANTA MARIA, CA 93454-5233
(805) 928-3636
(805) 928-3608
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/18/2006
Last updated
08/28/2012
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