Individual
GARY CHAD CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 HARRISON BOULEVARD, MCKAY DEE HOSPITAL, OGDEN, UT 84403
(801) 387-2800
(801) 733-5618
Mailing address
3340 NORTH CENTER ST #800, LEHI, UT 84043-7406
(801) 990-1911
(801) 990-1912
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
88-180060-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003057300
—
ID
05
—
100501265
—
NV
01
—
107007318102
IHC
UT
05
—
111370400
—
WY
01
—
1502954
UMWA
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
36894
DESERET MUTUAL
UT
01
—
44690
HEALTHY U
UT
01
—
58469
PEHP
UT
05
—
821654
—
AZ
01
—
870545614CAR
EDUCATORS MUTUAL
UT
01
—
PRA02928
MOLINA
UT
01
—
QM0000075886
ALTIUS
UT
Enumeration date
08/31/2006
Last updated
10/15/2012
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