Organization
GOURLEY ALLERGY & ASTHMA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVIDS S GOURLEY MD (MANAGING MEMBER)
(801) 266-4115
Entity
Organization
Contact information
Practice address
6065 S FASHION BLVD, STE 255, MURRAY, UT 84107-7381
(801) 266-4115
(801) 266-4138
Mailing address
4646 S FARM MEADOW LN, SALT LAKE CITY, UT 84117-8064
(801) 278-0730
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
1838591205
UT
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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