David J Henderson M D a Professional Corporation

NPI #1730990722 in Bountiful, Utah

Provider Information

NPI Number
1730990722
Entity Type
Organization
Organization Name
David J Henderson M D a Professional Corporation
Subpart
Yes (part of a larger organization)
Parent Organization
DAVID J HENDERSON M D A PROFESSIONAL CORPORATION
Primary Specialty
Urology
Enumeration Date
Jan 17, 2025
Last Updated
Feb 13, 2025

Practice Location

Address
440 MEDICAL DR STE 3
State
Utah
ZIP Code
84010-5174
Phone
(385) 722-9566

Authorized Official

Name
DAVID JAY HENDERSON, MD
Title
OWNER
Phone
(801) 721-4017

Specialties & Taxonomy Codes

Specialty
Urology

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