Individual
LANDON ROBERT HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
848 N 980 W, OREM, UT 84057-7709
(801) 374-1999
(801) 492-1991
Mailing address
848 N 980 W, OREM, UT 84057-7709
(801) 374-1999
(801) 492-1991
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11573816-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
03/27/2017
Last updated
03/31/2020
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