Organization
HENDRICKSON HEARING LLC
Active
Organization
HENDRICKSON HEARING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WADE HENDRICKSON BC-HIS (PRESIDENT)
(480) 735-9234
Entity
Organization
Contact information
Practice address
2107 E CATCLAW ST, GILBERT, AZ 85296-3376
(480) 735-9234
Mailing address
2107 E CATCLAW ST, GILBERT, AZ 85296-3376
(480) 735-9234
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAD2033
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175218
—
AZ
Enumeration date
08/06/2007
Last updated
08/06/2007
Update your record
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