Individual
DR. GREGORY ADAM HARLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 662-3645
(801) 662-3664
Mailing address
PO BOX 581100, SALT LAKE CITY, UT 84158-1100
(801) 213-3800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5353668-1205
UT
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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