Individual
MR. GARY NOLAN GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
299 S MAIN ST STE 1700, SALT LAKE CITY, UT 84111-2279
(801) 303-0186
(801) 880-7599
Mailing address
299 S MAIN ST STE 1700, SALT LAKE CITY, UT 84111-2279
(801) 303-0186
(801) 880-7599
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
217034-4405
UT
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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