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NPI Verification

National Provider Identifier: 1366753709

Sean Jay Henderson, D.o., F.a.c.o.s.

Individual Provider

Credentials

D.O., F.A.C.O.S.

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Urology

Code: 208800000X

Urology

Code: 208800000X

Primary

Practice Address

2965 W 3500 S

WEST VALLEY CITY, UT 841193602

Phone: 801-965-3600

NPI Enumeration Date

June 30, 2010

NPI Number

1366753709

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry