Individual provider · Type 1 NPI

Blake Tarleton Henderson, MD

Student in an Organized Health Care Education/Training Program · San Francisco, CA

NPI number 1992064893 Active

Practice location

2425 Geary Blvd # M160
San Francisco, CA 94115-3358

Call (916) 521-6062 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

9 other providers at this address

Other student in an organized health care education/training program providers in San Francisco

See all in San Francisco →

About NPI 1992064893

Blake Tarleton Henderson, MD's National Provider Identifier is 1992064893, issued on May 11, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Francisco, CA. The record was last updated on Feb 11, 2022.