SHASTA ELIZABETH HENDERSON

GLENDALE, AZ
NPI1316383953
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207XX0801X Orthopaedic Surgery, Orthopaedic Trauma
(Licence: AZ  74368)
Additional Taxonomies207XX0801X Orthopaedic Surgery, Orthopaedic Trauma
(Licence: SC  83022)
Enumeration Date2013-05-21
Last Update Date2025-05-11
Business Address
SHASTA ELIZABETH HENDERSON MD
5601 W EUGIE AVE STE 100
GLENDALE, AZ 85304-1256
Phone number: 602-865-4510
Mailing Address
SHASTA ELIZABETH HENDERSON MD
1208 RED BUCKEYE CT
MONCKS CORNER, SC 29461-8600
Phone number: 310-721-8870