Individual
DR. ETHAN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
163 VETERANS DR, WHITE RIVER JUNCTION, VT 05009-7451
(254) 743-0311
Mailing address
PO BOX 261, QUECHEE, VT 05059-0261
(254) 718-5117
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
042.0016380
VT
207P00000X
Emergency Medicine Physician
S2330
TX
Other
Enumeration date
04/11/2017
Last updated
04/10/2025
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