Organization · Type 2 NPI

Henderson Surgical Physician Assistant

Surgical Physician Assistant · Riverside, CA

NPI number 1982129342 Active

Practice location

4445 Magnolia Ave
Riverside, CA 92501-4135

Mailing address

12625 Frederick St # I5215
Moreno Valley, CA 92553-5216

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X51407 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1982129342

Henderson Surgical Physician Assistant's National Provider Identifier is 1982129342, issued on Aug 7, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Riverside, CA. The record was last updated on Aug 7, 2017.