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Individual

DR. CASEY JOSEPH HENICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
Mailing address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
27181
OK
207Q00000X
Family Medicine Physician
Primary
8252545-1205
UT

Other

Enumeration date
05/26/2009
Last updated
04/18/2024
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