Individual
RANDY S HENINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNM
Contact information
Practice address
1492 W ANTELOPE DR STE 206, LAYTON, UT 84041-1150
(801) 776-0567
Mailing address
1268 S 4225 W, SYRACUSE, UT 84075-6896
(801) 540-7100
(801) 820-6955
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
5701141-4402
UT
Other
Enumeration date
02/23/2006
Last updated
09/30/2009
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