Individual
DERRICK CRIPPS GALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4063 W 12600 S, RIVERTON, UT 84096-7302
(801) 328-2522
(801) 533-0589
Mailing address
756 E 12200 S, DRAPER, UT 84020-9724
(801) 328-2522
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
11131583-1205
UT
207Y00000X
Otolaryngology Physician
2013019934
MO
207Y00000X
Otolaryngology Physician
R6005
TX
Other
Enumeration date
09/06/2013
Last updated
08/16/2019
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