Individual
THEODORE GERUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3784 W VALLEY VIEW DR, CEDAR HILLS, UT 84062-8085
(801) 407-9998
Mailing address
222 S RIVER BEND CT, LEHI, UT 84043-4962
(801) 380-3718
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F26-159998
UT
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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