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Organization

DAVID J HENDERSON M D A PROFESSIONAL CORPORATION

Active
Parent organization
DAVID J HENDERSON M D A PROFESSIONAL CORPORATION
Other names
Bountiful Urology
Organization subpart
Yes

Provider details

NPI number
Legal business name
DAVID J HENDERSON M D A PROFESSIONAL CORPORATION
Authorized official
DAVID JAY HENDERSON MD (OWNER)
(801) 721-4017
Entity
Organization

Contact information

Practice address
440 MEDICAL DR STE 3, BOUNTIFUL, UT 84010-5174
(385) 722-9566
(385) 722-9567
Mailing address
280 S MAIN ST, BOUNTIFUL, UT 84010-6236
(801) 505-0821
(801) 505-0803

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
01/17/2025
Last updated
02/13/2025
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