Individual
RUSSELL HENDRYCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 NORTH MARIO CAPECCHI DRIVE, SALT LAKE CITY, UT 84112
(801) 581-2121
Mailing address
30 NORTH MARIO CAPECCHI DRIVE, SALT LAKE CITY, UT 84112
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14240961-1205
UT
Other
Enumeration date
03/31/2023
Last updated
09/30/2025
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