Individual
ARLAN MICHAEL HENRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
30 N 1900 E, GRADUATE MEDICAL EDUCATION OFFICE RM 1C412, SALT LAKE CITY, UT 84132-0002
(801) 585-2589
(801) 585-2507
Mailing address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-5458
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
371548-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00905611
RAILROAD MEDICARE
UT
Enumeration date
06/30/2006
Last updated
11/03/2021
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