Individual
DAVID EDWARD HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
813 FOUNDERS PARK DRIVE., SUITE 203, SPRINGDALE, AR 72762
(479) 463-2440
(479) 463-2465
Mailing address
P.O. BOX 550, LOWELL, AR 72745
(479) 463-7775
(479) 463-7187
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
E-15375
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2017
Last updated
03/08/2023
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