Individual
MR. VICTOR R HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 E HUNT DR, STE H, SHOW LOW, AZ 85901
(928) 537-6964
(928) 532-8798
Mailing address
2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901
(928) 537-6978
(928) 537-4205
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
26987
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
440264
AHCCCS
AZ
Enumeration date
09/14/2005
Last updated
03/07/2023
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