Whalio Doctors

NPI 1528026978

Jeffrey Lynn Henderson, MD

Practitioner Emergency Medicine Physician Bountiful, UT

Practice location

Address
390 N Main St, Bountiful, UT 84010-6046
Phone
(801) 292-6100
Mailing address
PO Box 27128, Salt Lake City, UT 84127-0128

Registered specialties (2)

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 8294005-1205 (UT)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence M4145 (TX)

Registry record

NPI
1528026978
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 May 2006
Record last updated
20 Apr 2017

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.