NPI 1043468564

C.A. Hendricks M.D. P.C.

Organisation Point of Service Cedar Rapids, IA

Practice location

Address: 1136 H Ave NE, Cedar Rapids, IA 52402-4624
Phone: (319) 362-9855
Fax: (319) 362-0655

Authorised official

Name: Clifford Hendricks
Title: Doctor
Phone: (319) 362-9855

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 15724 (IA)

Other Point of Service providers in Iowa →

Registry record

NPI: 1043468564
Entity type: Organization
NPI issued: 9 Sep 2008
Record last updated: 9 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.