Organization
MEDICINE BY DR HENDERSON LLC
Active
Parent organization
MEDICINE BY DR HENDERSON LLC
Other names
BUTLER URGENT MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICINE BY DR HENDERSON LLC
Authorized official
GAYLE STARK (CREDENTIALING OFFICER)
(660) 424-0794
Entity
Organization
Contact information
Practice address
9 N MAIN ST, BUTLER, MO 64730-2135
(660) 386-7008
(660) 386-7009
Mailing address
PO BOX 28, BUTLER, MO 64730-2135
(660) 386-7008
(660) 386-7009
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
04/03/2021
Last updated
11/25/2024
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