Individual
PATRICK CHARLES HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1605 E RIVER RD, SUITE 101, TUCSON, AZ 85718-5971
(520) 296-5437
(520) 296-9683
Mailing address
1605 E RIVER RD, SUITE 101, TUCSON, AZ 85718-5971
(520) 296-5437
(520) 296-9683
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
40293
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340375
—
AZ
Enumeration date
03/20/2007
Last updated
08/28/2008
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