Individual
MR. ERICK FARR HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2390 S REDWOOD RD, SALT LAKE CITY, UT 84119-2027
(801) 975-1600
Mailing address
2390 S REDWOOD RD, SALT LAKE CITY, UT 84119-2027
(801) 975-1600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6932179-1206
—
Other
Enumeration date
09/22/2010
Last updated
02/10/2012
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