Individual
JASON S. HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6404 COTTON BAY DR N, INDIANAPOLIS, IN 46254-4528
(207) 659-8910
Mailing address
PO BOX 247, N VASSALBORO, ME 04962-0247
(207) 873-6173
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
4628
HI
Other
Enumeration date
03/01/2007
Last updated
04/04/2014
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