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Individual

MR. TONY SCOTT GREGORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
8446 S HARRISON ST, MIDVALE, UT 84047-3501
(801) 417-0131
(801) 255-5814
Mailing address
12533 S 4260 W, RIVERTON, UT 84096-5504
(801) 556-9357

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8418422-1206
UT

Other

Enumeration date
08/30/2012
Last updated
03/21/2014
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