Organization
ROCKY MOUNTAIN CLINICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY GARNER M.D. (OWNER)
(801) 592-8536
Entity
Organization
Contact information
Practice address
1594 W 300 N, PLEASANT GROVE, UT 84062
(801) 592-8536
Mailing address
1594 W 3300 N, PLEASANT GROVE, UT 84062-9041
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
150719-1205
UT
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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