Most Relevant Information
Provider Data
| NPI Number: | 1003340340 |
| Provider Name: | CRAIG HENDRICKSON ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 516 |
Most Important Dates
| Enumeration Date: | 04/13/2017 |
| Last Updated: | 04/13/2017 |
Provider Practice Location
1414 UNIVERSITY BLVD SE
ALBUQUERQUE
NM
871310001
Practice Location Phone/Fax
| Phone: | 5059255540 |
| Fax: |
Provider Mailing Location
1414 UNIVERSITY BLVD SE
ALBUQUERQUE
NM
871310001
Provider Mailing Phone/Fax
| Phone: | 5059255540 |
| Fax: |