| NPI | 1811706377 |
|---|---|
| Doing Business As | DAVID J. HENDERSON M.D. |
| Entity Type | Organization |
| Authorized Contact | SCOTT ERICKSON Owner 801-294-8288 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2024-12-30 |