Individual
MS. MINDY STADLER HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15215 S 48TH ST, SUITE 120, PHOENIX, AZ 85044-9142
(480) 706-6580
(480) 706-8157
Mailing address
15215 S 48TH ST, SUITE 120, PHOENIX, AZ 85044-9142
(480) 706-6580
(480) 706-8157
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3725
AZ
Other
Enumeration date
10/23/2007
Last updated
12/31/2014
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