Individual
GREGORY PHILLIP GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1492 W ANTELOPE DR STE 203, LAYTON, UT 84041-1141
(801) 807-1000
Mailing address
1492 W ANTELOPE DR STE 203, LAYTON, UT 84041-1141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11782249-1205
UT
207R00000X
Internal Medicine Physician
R76101
AZ
Other
Enumeration date
04/23/2017
Last updated
06/03/2020
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