Individual
STEPHANIE DIANE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9450 S 1300 E, SANDY, UT 84094-5555
(801) 501-2160
(801) 501-2107
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
10259776-1205
UT
207V00000X
Obstetrics & Gynecology Physician
R72652
AZ
Other
Enumeration date
05/18/2011
Last updated
12/12/2023
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