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Individual
DR. DAVID SCOTT GOURLEY
Active
Individual
DR. DAVID SCOTT GOURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
90-183859-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030001480
RAILROAD MEDICARE
—
01
—
1838591205
UT PROFESSIONAL LICENSE
UT
Enumeration date
06/01/2005
Last updated
04/03/2013
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