Organization
CARL VAN GILS, DPM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL C VAN GILS DPM (PRESIDENT)
(435) 632-6682
Entity
Organization
Contact information
Practice address
25 N 300 WEST, PANGUITCH, UT 84759
(435) 632-6682
Mailing address
31 S REFLECTION WAY, ST GEORGE, UT 84770-8042
(435) 632-6682
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
3739380501
UT
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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