Individual
ZACHARY FRASER HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
16-523 KEAAU PAHOA RD, KEAAU, HI 96749-8156
(808) 932-3830
(808) 932-6699
Mailing address
16-523 KEAAU PAHOA RD, KEAAU, HI 96749-8156
(808) 932-3830
(808) 932-6699
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
AMD-1068
HI
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/15/2025
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