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Individual
PETER L HENDRICKS
Active
Individual
PETER L HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9950
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00734297
—
MS
05
—
009942261
—
AL
05
—
009942262
—
AL
05
—
009942263
—
AL
05
—
009942266
—
AL
01
—
051540599
BCBS
AL
01
—
051540600
BCBS
AL
01
—
051540601
BCBS
AL
01
—
051540602
BCBS
AL
Enumeration date
09/30/2005
Last updated
06/06/2011
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