NPI 1043769847

Gage Henderson, PAC

Practitioner Physician Assistant Ronan, MT

Practice location

Address: 126 6th Ave SW, Ronan, MT 59864-2600
Phone: (406) 676-4441
Fax: (406) 676-0835

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence MED-PAC-LIC-51617 (MT)

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Registry record

NPI: 1043769847
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Sep 2016
Record last updated: 14 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.