Individual
ALAN GARTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 662-3577
Mailing address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-3578
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
166477-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002087537
FIRST HEALTH
UT
05
—
002966800
—
ID
05
—
102397700
—
WY
01
—
107005106101
IHC
UT
01
—
2000040
UNITED HEALTHCARE
UT
01
—
24408
PEHP
UT
01
—
2596
HEALTHY U
UT
05
—
401765
—
MT
01
—
416934
DESERET MUTUAL
UT
01
—
870280408GA1
EDUCATORS MUTUAL
UT
05
—
883662
—
AZ
01
—
PR00875
MOLINA
UT
01
—
QM0000049516
ALTIUS
UT
Enumeration date
08/24/2006
Last updated
10/06/2011
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