Individual
GORDON W HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
528 COFFEEN AVE, SHERIDAN, WY 82801-5312
(307) 683-7138
Mailing address
528 COFFEEN AVE, SHERIDAN, WY 82801-5312
(307) 683-7138
(307) 655-8770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1447
WY
363A00000X
Physician Assistant
PA61369633
WA
Other
Enumeration date
11/14/2022
Last updated
07/28/2026
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