Individual
DR. GARY L HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1775 W ST MARYS RD, SUITE 116, TUCSON, AZ 85745
(520) 624-2471
(520) 882-7469
Mailing address
1775 W ST MARYS RD, SUITE 116, TUCSON, AZ 85745
(520) 624-2471
(520) 882-7469
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0529
AZ
208600000X
Surgery Physician
3322
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217423
—
AZ
Enumeration date
11/15/2006
Last updated
11/28/2007
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