Individual
DR. RICHARD E HENDRIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 JOY LN, FORT MOHAVE, AZ 86426-8807
(928) 788-1900
(928) 788-2048
Mailing address
4825 S HIGHWAY 95, SUITE 5 #503, FORT MOHAVE, AZ 86426-8315
(928) 788-1900
(928) 788-2048
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32537
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7256452
AETNA PROVIDER ID
AZ
05
—
873861
—
AZ
01
—
919836
CIGNA PROVIDER ID
AZ
01
—
AZ0760200
BCBS PROVIDER ID
AZ
Enumeration date
04/03/2007
Last updated
04/22/2013
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