Individual
SCOTT T HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
909 HITT ST, COLUMBIA, MO 65212-0001
(573) 882-7481
(573) 882-5370
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2010028272
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1057786
—
IA
01
—
34940
WELLMARK
IA
Enumeration date
08/31/2006
Last updated
02/13/2024
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