NPI 1871893156

Jon P Henderson, DVM

Practitioner Veterinarian Anadarko, OK

Practice location

Address: 1218 E Central, Anadarko, OK 73005-0968
Phone: (405) 247-5588
Mailing address: 1218 E Central PO Box 968, Anadarko, OK 73005-0968

Registered specialties

Veterinarian Primary

Other Service Providers Taxonomy 174M00000X Licence 4162 (OK)

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Registry record

NPI: 1871893156
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Nov 2010
Record last updated: 2 Nov 2010

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.