Dr. Gerald J Gleich
Internist Dermatologist Allergist & Immunologist Allergist
50 N Medical Dr
Salt Lake City
, Utah 84132-1100
Dr. Gerald J Gleich
Internist Dermatologist Allergist & Immunologist Allergist
50 N Medical Dr
Salt Lake City
, Utah 84132-1100
(801) 587-6346
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About
Features
Specialties
- Allergist & Immunologist
- Allergist
- Dermatologist
- Internist
Languages spoken
- English
Location
First Address
- Dr. Gerald J Gleich
- Po Box 3208
- Salt Lake City, UT
- Zip : 84110-3208
- Fax : (801) 587-6346
- Phone : (801) 587-6340
Second Address
- Dr. Gerald J Gleich
- 50 N Medical Dr
- Salt Lake City, UT
- Zip : 84132-1100
- Phone : (801) 581-2955
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207K00000X | Allergist & Immunologist | 49317201205 | UT |
| N | 207KA0200X | Allergist | 49317201205 | UT |
| N | 207N00000X | Dermatologist | 4931720-1205 | UT |
| Y | 207R00000X | Internist | 4931720-1205 | UT |
| Y | 111NI0900X | Internist | 4931720-1205 | UT |
National Provider Identifier
| NPI | 1174545800 |
|---|---|
| Provider Name | Dr. Gerald J Gleich |
| First Address | Salt Lake City, UT 84110-3208 |
| Second Address | Salt Lake City, UT 84132-1100 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2006 |
| Last Update Date | 01/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 806805000 | (05) | ID |
| 870468377001 | (05) | UT |
| D80939 | (02) | UT |
| J0854 | (05) | NM |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.