Individual
REX M. HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
810 E 23RD ST, SIOUX FALLS, SD 57105-2135
(605) 331-5890
(605) 336-3974
Mailing address
810 E 23RD ST, P.O. BOX 5116, SIOUX FALLS, SD 57105-2135
(605) 331-5890
(605) 336-3974
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000035
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5751020
—
SD
Enumeration date
08/31/2006
Last updated
11/16/2007
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