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Dr. Jared W Henricksen, MD
Pediatric Critical Care Medicine Physician in Slc, Utah
NPI 1396762480

Jared W Henricksen is a Pediatric Critical Care Medicine Physician based in Slc, UT and is specialized in Pediatric Critical Care Medicine. Jared W Henricksen practices in Slc, UT and has the professional credentials of MD. The NPI Number for Jared W Henricksen is 1396762480 and holds a License No. 347933-1205 (Utah).

The current practice location address for Jared W Henricksen is 100 Mario Capecchi Dr, Slc, UT and can be reached out via phone at 801-662-1000.

Location: 100 Mario Capecchi Dr, Slc, UT, 84108-1287
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396762480
Provider Name
Jared W Henricksen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Mario Capecchi Dr, Slc, UT, 84108-1287
Phone Number
801-662-1000
Fax Number
Provider Enumeration Date
07/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
100 Mario Capecchi Dr
City
Slc
State
Utah
Zip
84113-1103
Phone Number
801-662-1000
Fax Number
person
Provider Business Mailing Address Details
Address
100 Mario Capecchi Dr
City
Slc
State
Utah
Zip
84113-1103
Phone Number
801-662-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Critical Care Medicine
Taxonomy
2080P0203X
License No.
347933-1205 (Utah)
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
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