Individual
JOHN MICHAEL HENDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N 1900 E RM 4C104, SALT LAKE CITY, UT 84132-0002
(801) 581-2121
Mailing address
30 N 1900 E RM 4C104, SALT LAKE CITY, UT 84132-0002
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9560104-1205
UT
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
9560104-1205
UT
Other
Enumeration date
04/02/2014
Last updated
11/03/2021
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