Individual
MR. GLADE MATTHEW GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5965 S 900 E, SALT LAKE CITY, UT 84121-1720
(801) 536-6502
Mailing address
7143 W 8050 S, WEST JORDAN, UT 84081-5090
(801) 252-7233
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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