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Contact Information

DAVID J HENDERSON M D A PROFESSIONAL CORPORATION
415 MEDICAL DR
202 A
BOUNTIFUL, UT84010-4946
 Phone: 801-298-3247
 Fax: 801-298-9675
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for DAVID J HENDERSON M D A PROFESSIONAL CORPORATION

NPI Number 1760512578
LBN Legal business name DAVID J HENDERSON M D A PROFESSIONAL CORPORATION
Authorized official DAVID HENDERSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2007
Last updated 04/30/2025 - More than a year ago
Identifiers
UT License # 1593808905
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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