Individual
BARRY L HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
232 S WOODS MILL RD, CVICU, CHESTERFIELD, MO 63017-3417
(314) 434-1500
(314) 542-4891
Mailing address
232 S WOODS MILL RD, CVICU, CHESTERFIELD, MO 63017-3417
(314) 434-1500
(314) 542-4891
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36877
MO
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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