Individual
DR. GARY WARREN SCHLICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
164 E 5900 S, STE. A112, MURRAY, UT 84107-7256
(801) 262-2673
(801) 269-9894
Mailing address
10026 GRANITE CREST LN, SANDY, UT 84092-7219
(801) 262-2673
(801) 269-9894
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30991141205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5552358546012
—
UT
Enumeration date
08/25/2005
Last updated
03/30/2015
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