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Individual

ROBERT GREALLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5444 GREEN ST, MURRAY, UT 84123-5632
(801) 262-8120
Mailing address
5444 GREEN ST, MURRAY, UT 84123-5632
(801) 262-8120

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
6710716-1205
UT
2085R0202X
Diagnostic Radiology Physician
M-8714
ID

Other

Enumeration date
06/16/2006
Last updated
09/04/2012
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