Individual
DR. DONALD L. HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1015 SUMMITT SQ, MIDDLETOWN, OH 45042-3464
(513) 424-6267
Mailing address
1015 SUMMITT SQ, MIDDLETOWN, OH 45042-3464
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3176
OH
Other
Enumeration date
12/06/2005
Last updated
05/14/2008
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