Individual
JOHN EVERETT HENDRICKS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
5411 W 78TH ST, JOHNS HOPKINS UNIVERSITY/PEPSICO HEALTH & WELLNESS CTR, INDIANAPOLIS, IN 46268-4150
(317) 876-6928
(317) 876-6931
Mailing address
5411 W 78TH ST, INDIANAPOLIS, IN 46268-4150
(317) 876-6928
(317) 876-6931
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001247A/B
IN
Other
Enumeration date
01/24/2007
Last updated
12/10/2012
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