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Individual

PETER L HENDRICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
(205) 297-9411

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9950
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00734297
MS
05
009942261
AL
05
009942262
AL
05
009942263
AL
05
009942266
AL
01
051540599
BCBS
AL
01
051540600
BCBS
AL
01
051540601
BCBS
AL
01
051540602
BCBS
AL
Enumeration date
09/30/2005
Last updated
06/06/2011
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