Individual
DR. RODNEY D HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2851 S AVENUE B, STE 2403, YUMA, AZ 85364-7759
(928) 726-2990
(928) 726-0786
Mailing address
9187 CLAIREMONT MESA BLVD, # 6733, SAN DIEGO, CA 92123-1257
(928) 726-2990
(928) 726-0786
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
105849
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105849
STATE LICENSE
MO
01
—
44983
STATE LICENSE
AZ
01
—
A67635
STATE LICENSE
CA
Enumeration date
07/02/2005
Last updated
03/16/2016
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