| NPI | 1548494974 |
|---|---|
| Doing Business As | MCHENRY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JOHN R PORTEOUS Shareholder 209-577-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-10-05 |