Individual
GREGG CARY LUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 581-7951
Mailing address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 581-7951
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
20A11500
CA
208000000X
Pediatrics Physician
20A11500
CA
208000000X
Pediatrics Physician
H1137
TX
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
6814121-1204
UT
Other
Enumeration date
05/01/2008
Last updated
07/19/2019
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