Gage Henderson, PA-C Valid NPI

Individual provider · Physician Assistant · Ronan, MT

NPI

1043769847

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

MED-PAC-LIC-51617 (MT)

Sex

Male

Sole proprietor

No

Enumerated

2016-09-22

Last updated

2017-08-14