Individual
DR. JEFFREY A. HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
3200 CANYON LAKE DRIVE, RAPID CITY, SD 57702
(605) 355-2429
(605) 716-4814
Mailing address
701 ST. JOSEPH STREET, SUITE 204, RAPID CITY, SD 57701
(605) 348-6100
(605) 348-6990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3636
SD
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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