Individual
GARY L HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
502 S MAIN ST, SMITHFIELD, UT 84335-2314
(435) 563-3222
Mailing address
502 S MAIN ST, SMITHFIELD, UT 84335-2314
(435) 563-3222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1727361205
UT
Other
Enumeration date
08/05/2006
Last updated
08/18/2008
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