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Clarence Henriksen, MD

NPI 1598919060 · on the registry since 2008 · sole proprietor

Practice

Address
375 Chipeta Way
Ste A
Salt Lake City, UT 84132
Phone
(801) 581-8000
Clinicians at this address
9

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-11-11

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