Mark D. Hendricks M.D.

NPI 1164409983 - Internal Medicine - 207R00000X

NPI Details
NPI 1164409983
Gender Male
Enumeration Date 12/22/2005
Last Updated 12/21/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
1835 EL CAJON BLVD
SUITE C
SAN DIEGO CA, 92103-2591, US
Phone (619) 543-9655
Fax
Business Location
1835 EL CAJON BLVD
SUITE C
SAN DIEGO CA, 92103-2591, US
Phone (619) 543-9655
Fax
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number G62541
Remove 1164409983 NPI Number
 

According to our database, Dr. Mark D. Hendricks M.D. NPI is 1164409983, taxonomy code is 207R00000X and license number is G62541, license state is located at California. Mark D. Hendricks M.D. physically located at 1835 El Cajon Blvd, San Diego CA, 92103-2591. NPI Number Mark D. Hendricks M.D. has the Individual type.

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1164409983 NPI number is provided on an as is basis without warranty of any kind. 1164409983 is maintained by the National Plan & Provider Enumeration System. The contents of Mark D. Hendricks M.D. are for informational purposes only.