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NPI Code Detail

MEDICARE: MARGO HENDRICKSON M.D.

MEDICARE: MARGO HENDRICKSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0120XPediatric Surgery PhysicianM-16047ID
22086S0120XPediatric Surgery Physician7183NV

General Provider Information

NPI Number : 1760470777
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGO HENDRICKSON M.D.
Provider Business Mailing Address
First Line : 3006 S MARYLAND PKWY
Second Line : SUITE 770
City : LAS VEGAS
State : NV
Zip : 89109-2218
Country : US
Telephone Number : 702-733-8202
Fax Number :
Provider Business Practice Location Address
First Line : 3006 S MARYLAND PKWY
Second Line : 770
City : LAS VEGAS
State : NV
Zip : 89109-2218
Country : US
Telephone Number : 702-733-8202
Fax Number : 702-733-0265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 10/22/2021

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Directions to “ MARGO HENDRICKSON M.D.” Practice Location

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