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Individual

ADAM CHRISTOPHER HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0417
Mailing address
4234 ILLINOIS AVENUE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0417

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2016029998
MO
207Q00000X
Family Medicine Physician
2016029998
MO

Other

Enumeration date
06/29/2015
Last updated
04/23/2026
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