Individual
JORDAN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 N 1900 E RM 3C444, SALT LAKE CITY, UT 84132-2501
(801) 581-3622
Mailing address
30 N 1900 E RM 3C444, SALT LAKE CITY, UT 84132-2501
(801) 581-3622
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
11443143-1205
UT
Other
Enumeration date
06/13/2014
Last updated
11/03/2021
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