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Individual
STEVEN ROYCE HENDERSON
Active
Individual
STEVEN ROYCE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
512
NV
363AM0700X
Medical Physician Assistant
512
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104036144
—
NV
01
—
512
STATE LICENSE
NV
Enumeration date
05/22/2007
Last updated
02/09/2026
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