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NPI 1043468564

OrganizationActive

C.a. Hendricks M.D. P.C.

NPI 1043468564 · Point of Service · Cedar Rapids, IA

Provider details

NPI number: 1043468564
Entity type: Organization
Primary specialty: Point of ServiceManaged Care Organizations
Authorized official: Clifford Hendricks, Doctor
License: 15724 (IA)

Practice location

1136 H Ave Ne

Cedar Rapids, IA 52402-4624

Phone: (319) 362-9855

Fax: (319) 362-0655

More IA providers

Mailing address

1136 H Ave Ne

Cedar Rapids, IA 52402-4624

Registry dates

Enumerated: 2008-09-09
Last updated: 2008-09-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

C.a. Hendricks M.D. P.C. — NPI 1043468564, Cedar Rapids, IA | NPI Central