Organization
W RAY HENDERSON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
W RAY HENDERSON MD (MEDICAL DIRECTOR)
(760) 346-3810
Entity
Organization
Contact information
Practice address
73180 EL PASEO, PALM DESERT, CA 92260-4218
(760) 346-3810
(760) 346-3083
Mailing address
73180 EL PASEO, PALM DESERT, CA 92260-4218
(760) 346-3810
(760) 346-3083
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
C24144
CA
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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