Provider Demographics
NPI:1003181587
Name:DRINKER, HENRY RUSSELL JR (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:RUSSELL
Last Name:DRINKER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:14711 FRUITVALE AVE
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-6136
Mailing Address - Country:US
Mailing Address - Phone:408-867-1974
Mailing Address - Fax:408-867-9114
Practice Address - Street 1:14711 FRUITVALE AVE
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-6136
Practice Address - Country:US
Practice Address - Phone:408-867-1974
Practice Address - Fax:408-867-9114
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-15
Last Update Date:2012-03-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAGFE3700208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology