Individual
EDYTH Z HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
14780 W. MOUNTAIN VIEW BLVD., SUITE 110, SURPRISE, AZ 85374-7280
(623) 374-7774
Mailing address
14780 W. MOUNTAIN VIEW BLVD., SUITE 110, PHOENIX, AZ 85374-7280
(480) 415-1534
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
31-88
AZ
363A00000X
Physician Assistant
3188
AZ
Other
Enumeration date
10/12/2006
Last updated
07/17/2015
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