Individual
DR. BETH A. HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7840 NATURAL BRIDGE RD, PATIENT CARE CENTER, SAINT LOUIS, MO 63121-4617
(314) 516-5131
(314) 516-5507
Mailing address
1 UNIVERSITY BLVD, PATIENT CARE CENTER, SAINT LOUIS, MO 63121-4400
(314) 516-5131
(314) 516-5507
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03067
MO
152WC0802X
Corneal and Contact Management Optometrist
T03067
MO
Other
Enumeration date
09/28/2006
Last updated
06/10/2020
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