Individual
SCOTT CURTIS HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1485 S HIGHWAY 40, HEBER CITY, UT 84032-3522
(435) 654-2500
(770) 701-6676
Mailing address
PO BOX 3750, SALT LAKE CITY, UT 84110-3750
(800) 748-4868
(770) 701-6676
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
SL0585
NV
207L00000X
Anesthesiology Physician
02003876A
IN
207L00000X
Anesthesiology Physician
Primary
10498786-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01424362
RAIL ROAD PTAN
IN
Enumeration date
08/13/2008
Last updated
11/29/2017
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