Individual
DR. CHANCE JACK HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2446 RESEARCH PKWY STE 200, COLORADO SPRINGS, CO 80920-1087
(719) 623-1050
Mailing address
8101 E LOWRY BLVD STE 120, DENVER, CO 80230-7195
(303) 806-1998
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
036.142192
IL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
DR.0051822
CO
207XS0106X
Orthopaedic Hand Surgery Physician
N8660
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851503544
—
MO
Enumeration date
05/04/2007
Last updated
01/22/2021
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