Individual
MR. SCOTT THOMAS HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10671 ROANNA LN, SAINT LOUIS, MO 63128-1534
(314) 709-0063
Mailing address
10671 ROANNA, SUNSET HILLS, MO 63128-1534
(314) 709-0063
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2011040680
MO
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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