Individual
DR. RICHARD JOSEPH HENDRICKSON
Active
Individual
DR. RICHARD JOSEPH HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
010026213
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306893300
—
MO
05
—
200665680B
—
KS
05
—
200820250
—
IN
05
—
2659083
—
OH
Enumeration date
05/27/2006
Last updated
05/02/2012
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