Organization
GARY HENDERSON, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L HENDERSON M.D. (OWNER)
(520) 624-2471
Entity
Organization
Contact information
Practice address
1775 W SAINT MARYS RD STE 116, TUCSON, AZ 85745-2662
(520) 624-2471
Mailing address
1775 W SAINT MARYS RD STE 116, TUCSON, AZ 85745-2662
(520) 624-2471
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0529
AZ
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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