NPI 1730990722

David J Henderson M D a Professional Corporation

Organisation Urology Physician Bountiful, UT

Practice location

Address: 440 Medical Dr STE 3, Bountiful, UT 84010-5174
Phone: (385) 722-9566
Fax: (385) 722-9567
Mailing address: 280 S Main St, Bountiful, UT 84010-6236

Authorised official

Name: David Jay Henderson
Title: Owner
Phone: (801) 721-4017

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Utah →

Registry record

NPI: 1730990722
Entity type: Organization
NPI issued: 17 Jan 2025
Record last updated: 13 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.