NPI 1720382922

Gerald Mark Henderson, PAC

Practitioner Medical Physician Assistant Livingston, MT

Practice location

Address: 320 Alpenglow Ln, Livingston, MT 59047-8506
Phone: (406) 222-3541
Mailing address: 104 N Davis St, Belgrade, MT 59714-3817

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 557 (MT)

Other Physician Assistant providers in Montana →

Registry record

NPI: 1720382922
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jan 2011
Record last updated: 7 Jan 2016

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.