Individual
DR. CLIFFORD E. HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11861 ABERDEEN LANDING LN, MIDLOTHIAN, VA 23113-2905
(804) 272-0638
Mailing address
11861 ABERDEEN LANDING LN, MIDLOTHIAN, VA 23113-2905
(804) 272-0638
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101023274
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101023274
MEDICAL LICENSE
VA
Enumeration date
04/12/2007
Last updated
02/15/2016
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