# PETER L HENDRICKS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1962499459
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 9950 | AL | Yes |

## Other

- **Enumeration date:** 09/30/2005
- **Last updated:** 06/06/2011

## 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 |