Dr. Jeffrey A. Henderson, M.D., M.P.H.
Internal Medicine in Rapid City, SD. Individual provider (NPI-1).
NPI number1598856049
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1598856049
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeffrey A. Henderson
- Credential
- M.D., M.P.H.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 3636 | SD | Yes |
Practice location
3200 Canyon Lake DriveRapid City, SD 57702
Phone 605-355-2429 · Fax 605-716-4814
Mailing address
701 St. Joseph StreetSuite 204
Rapid City, SD 57701
Phone 605-348-6100 · Fax 605-348-6990
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