Gary L Child in Lehi - Adult Medicine

Gary L Child - NPI 1063492304

Gary L Child is a Adult Medicine in Lehi, Utah. Gary L Child practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Gary L Child is 1063492304. The last update date is 2011-12-14.

Gary L Child's current location address is 945 W 3200 N, Lehi, Utah. You can contact this provider via phone number 8017666055 and fax number 8886118840. The mailing address for Gary L Child is 945 W 3200 N, Lehi, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary L Child
Address 945 W 3200 N, Lehi, Utah
Phone Number 8017666055
Fax Number 8886118840
Sole Proprietor Y
Credentials DO

NPI Number Detail

NPI Number 1063492304
Provider Enumeration Date 2006-01-20
Last Updated Date 2011-12-14

Provider Mailing Address Detail

Address 945 W 3200 N
City Lehi
State Utah (UT)
Post Code 840439771
Phone Number 8017666055
Fax Number 8886118840

Provider's Primary Taxonomy Detail

Speciality Adult Medicine
Taxonomy 207Qa0505X
Licence No 7112893-1204
Definition:
The NUCC recommends this code not be used. Choose a more appropriate code.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1063492304 UT --

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FAQs about Gary L Child

What is the unique provider identifier assigned to Gary L Child?

The Gary L Child has been issued the NPI (National Provider Identifier) 1063492304 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Gary L Child is geographically located?

The Gary L Child is physically situated at the following location: 945 W 3200 N, Lehi, UT, 840439771.

What is the Gary L Child's specialty and taxonomy code?

The Gary L Child's specialty is Adult Medicine, and the corresponding taxonomy code is 207Qa0505X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1063492304 to Gary L Child?

The Centers for Medicare & Medicaid Services originally issued the 1063492304 to Gary L Child on 2006-01-20.

As of what date was the information pertaining to Gary L Child, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Gary L Child, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-12-14.

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