Individual
GARY L WOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 N 1220 E STE 13, AMERICAN FORK, UT 84003
(801) 763-3815
(801) 756-2040
Mailing address
120 N 1220 E STE 13, AMERICAN FORK, UT 84003
(801) 763-3815
(801) 756-2040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
169925-1205
UT
Other
Enumeration date
07/20/2006
Last updated
10/16/2007
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