Individual
SHAUNA GAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2075 N 1200 W, LAYTON, UT 84041-1616
(801) 779-6200
(801) 779-6294
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 779-6200
(801) 779-6294
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7036801-1205
UT
Other
Enumeration date
01/04/2007
Last updated
08/26/2008
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