Chuck Henderson, PA-C
NPI #1396793956 in Hurlburt Field, Florida
Provider Information
- NPI Number
- 1396793956
- Entity Type
- Individual
- Name
- Chuck Henderson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- May 5, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 113 LIELMANIS AVE
- City
- Hurlburt Field
- State
- Florida
- ZIP Code
- 32544-5613
- Phone
- (850) 881-2448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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