Gary L Child in Lehi - Interventional Pain Medicine

Gary L Child - NPI 1063492304

Gary L Child is a Interventional Pain Medicine in Lehi, Utah. Gary L Child practices all healthcare services and medical treatments related to Interventional Pain 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 Interventional Pain Medicine
Taxonomy 208Vp0014X
Licence No 71112893-120
Definition:
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p

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 Interventional Pain Medicine, and the corresponding taxonomy code is 208Vp0014X.

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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