HENDERSON SURGICAL PHYSICIAN ASSISTANT
Organization (NPI-2)
Active
Physician Assistant, Surgical
Provider Information
- NPI Number
1982129342- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4445 MAGNOLIA AVE, RIVERSIDE, CA, 925014135
- Phone
- (951) 443-9606
Specialties & Taxonomies
Physician Assistant, Surgical
Primary License: CA #51407