Individual
DR. HENRY J BASKIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 487-0451
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 487-0451
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
5211201-1205
UT
2085R0202X
Diagnostic Radiology Physician
Primary
5211201-1205
UT
Other
Enumeration date
03/20/2007
Last updated
04/17/2026
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