Individual
CLIFFORD LENNY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9720 BROADWAY EXT, OKLAHOMA CITY, OK 73114-6315
(405) 280-7546
(405) 772-8674
Mailing address
9720 BROADWAY EXT, OKLAHOMA CITY, OK 73114-6315
(405) 280-7546
(405) 772-8674
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
26344
OK
207R00000X
Internal Medicine Physician
26344
OK
Other
Enumeration date
06/11/2008
Last updated
10/21/2020
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