Individual
GARY L HALVERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1151 E 3900 S, #B150, SALT LAKE CITY, UT 84124-1216
(801) 262-3441
(801) 269-9005
Mailing address
1151 E 3900 S, #B150, SALT LAKE CITY, UT 84124-1216
(801) 262-3441
(801) 269-9005
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1619861205
UT
Other
Enumeration date
06/22/2005
Last updated
09/30/2013
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