Organization
DAVID J HENDERSON M D A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J HENDERSON M.D. (PRESIDENT)
(801) 298-3247
Entity
Organization
Contact information
Practice address
415 MEDICAL DR, 202 A, BOUNTIFUL, UT 84010-4946
(801) 298-3247
(801) 298-9675
Mailing address
415 MEDICAL DR, BOUNTIFUL, UT 84010-4946
(801) 298-3247
(801) 298-9675
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1593808905
UT
Other
Enumeration date
03/07/2007
Last updated
04/30/2025
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