Gary L Child DO

NPI 1063492304 - Family Medicine - 207QA0505X

NPI Details
NPI 1063492304
Gender Male
Enumeration Date 01/20/2006
Last Updated 12/14/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
945 W 3200 N
LEHI UT, 84043-9771, US
Phone (801) 766-6055
Fax (888) 611-8840
Business Location
945 W 3200 N
LEHI UT, 84043-9771, US
Phone (801) 766-6055
Fax (888) 611-8840
Toxanomy
Taxonomy Code 207QA0505X
License State Utah
License Number 7112893-1204
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According to our database, Dr. Gary L Child DO NPI is 1063492304, taxonomy code is 207QA0505X and license number is 7112893-1204, license state is located at Utah. Gary L Child DO physically located at 945 W 3200 N, Lehi UT, 84043-9771. NPI Number Gary L Child DO has the Individual type.

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1063492304 NPI number is provided on an as is basis without warranty of any kind. 1063492304 is maintained by the National Plan & Provider Enumeration System. The contents of Gary L Child DO are for informational purposes only.