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Joshua Mark Hendricks, DPM

Podiatrist, Foot & Ankle Surgery in Orange, CA. Individual provider (NPI-1).

NPI number1992298822
StatusActive
Last updated in NPPESJan 18, 2022

Details

NPI
1992298822
Entity type
Individual (NPI-1)
Name
Joshua Mark Hendricks
Credential
DPM
Sex
Male
Sole proprietor
No
Enumeration date
Jun 14, 2018
Certification date
Jan 18, 2022
Last updated
Jan 18, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle SurgeryE5805CAYes

Practice location

1038 E Chapman Ave
Orange, CA 92866-2111

Phone 714-771-4191

Mailing address

1038 E Chapman Ave
Orange, CA 92866-2111

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