W. RAY HENDERSONMD INC NPI 1215171020

NPI Information

W. RAY HENDERSON,MD INC is a facial plastic surgery otolaryngology in Palm Desert, CA. The provider is an otolaryngologist who specializes in facial plastic surgery. W. RAY HENDERSON,MD INC NPI is 1215171020. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

73180 EL PASEO
PALM DESERT, CA
ZIP 92260-218
Phone: (760) 346-3810
Fax: (760) 346-3083

The provider's authorized official is W Ray Henderson .
The authorized official title is Ceo and has the following contact phone number (760) 346-3810.

The enumeration date for this NPI number is 4/23/2009 and was last updated on 4/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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