DR. Blake Tarleton Henderson, M.D. is a student in an organized health care education training program in San Francisco, CA with 12 years of experience. The provider is 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. DR. Blake Tarleton Henderson, M.D. NPI is 1992064893. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2425 GEARY BLVD # M160
SAN FRANCISCO, CA
ZIP 94115-358
Phone: (916) 521-6062
The NPI 1992064893 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/11/2012 and was last updated on 2/11/2022.