Individual
JAMES D HENDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1939 WILMINGTON DR, SUITE 102, FORT COLLINS, CO 80528-6404
(970) 980-6024
(877) 489-6002
Mailing address
1939 WILMINGTON DR, SUITE 102, FORT COLLINS, CO 80528-6404
(970) 980-6024
(877) 489-6002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37885
CO
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
37885
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117632300
—
WY
05
—
32801718
—
CO
01
—
636745
BCBS
CO
Enumeration date
06/28/2006
Last updated
07/02/2013
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