DAN J HENDRICKSON

NAMPA, ID
NPI1467525949
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: ID  M-9672)
Additional Taxonomies207RC0200X Internal Medicine, Critical Care Medicine
(Licence: ID  M-9672)
Enumeration Date2006-11-15
Last Update Date2016-11-10
Business Address
-- DAN J HENDRICKSON M.D.
401 E HAWAII
NAMPA, ID 83686
Phone number: 208-302-2100
Mailing Address
-- DAN J HENDRICKSON M.D.
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-302-2100