Dr EDDIE M HENDERSON PA is a male medical professional, specializing in Physician Assistant. He graduated in 1999.
VALLEY-WIDE HEALTH SYSTEMS, INC
128 MARKET ST
ALAMOSA
CO
811012290
Tel: 7195895161
| Npi | 1801971676 |
| Pac Id | 9032109236 |
| Professional Enrollment Id | I20190313000302 |
| Last Name | HENDERSON |
| First Name | EDDIE |
| Middle Name | M |
| Suffix | |
| Gender | M |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | VALLEY-WIDE HEALTH SYSTEMS, INC |
| Group Practice Pac Id | 5991609067 |
| Number Of Group Practice Members | 26 |
| Line 1 Street Address | 128 MARKET ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ALAMOSA |
| State | CO |
| Zip Code | 811012290 |
| Phone Number | 7195895161 |
| Hospital Affiliation Ccn 1 | 061308 |
| Hospital Affiliation Lbn 1 | SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL |
| Hospital Affiliation Ccn 2 | 060008 |
| Hospital Affiliation Lbn 2 | SAN LUIS VALLEY HEALTH |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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