Individual
DR. GARY L HENDRIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
310 N LAWLER ST, MITCHELL, SD 57301-2636
(605) 995-1052
(605) 995-1052
Mailing address
310 N LAWLER ST, MITCHELL, SD 57301
(605) 995-1052
(605) 995-1052
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
564
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004813
BLUE SHIELD NUMBER
SD
05
—
7604140
—
SD
Enumeration date
02/14/2006
Last updated
11/20/2007
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