Search › Utah › Pediatric Critical Care Medicine Physician
Jared Henricksen, MD
NPI 1396762480 · on the registry since 2006
Practice
- Address
- 100 Mario Capecchi Dr
Slc, UT 84113 - Phone
- (801) 662-1000
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Pediatric Critical Care Medicine Physician
2080P0203X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-04-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah