Gerald Mark Henderson, PA-C
NPI #1720382922 in Livingston, Montana
Provider Information
- NPI Number
- 1720382922
- Entity Type
- Individual
- Name
- Gerald Mark Henderson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Jan 3, 2011
- Last Updated
- Jan 7, 2016
Practice Location
- Address
- 320 ALPENGLOW LN
- City
- Livingston
- State
- Montana
- ZIP Code
- 59047-8506
- Phone
- (406) 222-3541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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