Individual
DR. PADEN HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1930 E THOMAS RD, PHOENIX, AZ 85016-7711
(602) 532-1000
Mailing address
3920 E THOMAS RD UNIT 97072, PHOENIX, AZ 85060-2697
(612) 747-2406
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44362
AZ
207R00000X
Internal Medicine Physician
R7917
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154434637
—
IA
01
—
P00784898
RR MEDICARE
IA
Enumeration date
08/17/2006
Last updated
04/06/2023
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