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Individual

DR. DAVID GLEN GRYGLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
(435) 251-2992
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 251-2992

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
308134-1204
UT
208M00000X
Hospitalist Physician
Primary
308134-1204
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D4880
UT
Enumeration date
08/29/2006
Last updated
07/21/2022
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