Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Clarence Richard Henriksen III, MD

Individual provider Family Medicine Physician · NPI 1598919060

Dr. Clarence Richard Henriksen III, MD is a Family Medicine Physician in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

375 Chipeta Way Ste A
Salt Lake City, UT 84132-0001
Phone: (801) 581-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 7152595-1205 (UT)

Record details

NPI number1598919060
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 11, 2008
Last updated in NPPESNovember 11, 2008

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