Individual
BRYAN P HENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
736 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4941
(757) 312-6200
(757) 312-6181
Mailing address
109G GAINSBOROUGH SQ, BOX 723, CHESAPEAKE, VA 23320
(757) 490-9388
(757) 490-9401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003900
VA
363AM0700X
Medical Physician Assistant
0110003900
VA
Other
Enumeration date
06/04/2012
Last updated
12/03/2024
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