# MARK G HENDSERSON MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285773960
- **Authorized official:** MARK G HENDERSON MD (PHYSICIAN)
- **Authorized official phone:** (702) 735-0077

## Contact information

- **Practice address:** 2575 S CIMARRON RD, SUITE 102, LAS VEGAS, NV 89117
- **Practice address phone:** (702) 735-0077
- **Practice address fax:** (702) 866-0077
- **Mailing address:** 2575 S CIMARRON RD, SUITE 102, LAS VEGAS, NV 89117
- **Mailing address phone:** (702) 735-0077
- **Mailing address fax:** (702) 866-0077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 6058 | NV | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 08/22/2020