| NPI | 1760616270 |
|---|---|
| Doing Business As | MCHENRY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JOHN R PORTEOUS Shareholder 209-577-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207ND0101X Dermatology MOHS-Micrographic Surgery | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207Y00000X Otolaryngology | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 2088P0231X Urology Pediatric Urology | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2009-10-05 |