Individual
DR. GARY L HEDLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1900
Mailing address
869 E 4500 S, PMB 511, SALT LAKE CITY, UT 84107-3049
(801) 487-0451
(801) 487-2467
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
360306-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010
UUHN
UT
01
—
107008669101
SELECTHEALTH
UT
01
—
1600054
UNITED HEALTHCARE
UT
01
—
35834
DESERT MUTUAL
UT
01
—
52839
PUBLIE EMPLOYEES HEALTH
UT
01
—
8550895
AETNA
UT
01
—
870355724HE1
EDUCATORS MUTUAL
UT
01
—
983603061000001
BLUE SHIELD
UT
01
—
QM0000027099
ALTIUS
UT
Enumeration date
09/26/2006
Last updated
06/17/2008
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