NPI 1366753709

Sean Jay Henderson, DOFACOS

Practitioner Urology Physician American Fork, UT

Practice location

Address: 1159 E 200 N STE 300, American Fork, UT 84003-2037
Phone: (801) 965-3600
Mailing address: 2965 W 3500 S, West Valley City, UT 84119-3602

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 9683273-1204 (UT)

Other Urology providers in Utah →

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 34.011766 (OH)

Registry record

NPI: 1366753709
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2010
Record last updated: 13 Nov 2023

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.