Individual
JOHN GERST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
181 GARY WAY, NORTH SALT LAKE, UT 84054-1534
(253) 495-1666
Mailing address
181 GARY WAY, NORTH SALT LAKE, UT 84054-1534
(253) 495-1666
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
UT
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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