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Individual

GARY K GOUCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4403 HARRISON BLVD, #3815, OGDEN, UT 84403
(801) 387-2575
(801) 387-2585
Mailing address
4403 HARRISON BLVD, #3815, OGDEN, UT 84403
(801) 387-2575
(801) 387-2585

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
163985 1205
UT

Other

Enumeration date
05/31/2006
Last updated
09/27/2013
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