Individual
CHRISTINE HENINGER BROKEN LEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
716 W 800 N # 300, OREM, UT 84057-6300
(801) 224-0421
(801) 224-0821
Mailing address
716 W 800 N # 300, OREM, UT 84057-6300
(801) 224-0421
(801) 224-0821
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
260807-1206
UT
Other
Enumeration date
07/05/2005
Last updated
07/16/2007
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