Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 150719-1205 | UT |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 1507191205 | UT |
NPI | 1811067762 |
---|---|
Provider Name | Dr. Gary M Garner |
First Address | American Fork, UT 84003-3520 |
Second Address | Provo, UT 84604-3305 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 21/03/2013 |