Individual
GARY G WILLARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3741 W 12600 S, RIVERTON HOSPITAL, RIVERTON, UT 84065
(801) 285-4000
(801) 733-5618
Mailing address
3340 NORTH CENTER ST, #800, LEHI, UT 84043-7406
(801) 990-1911
(801) 990-1912
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5852445-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506345
—
NV
01
—
107038460101
IHC
UT
05
—
121129300
—
WY
01
—
1502954
UMWA
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
58524451200001
BCBS
UT
05
—
807170800
—
ID
01
—
83829
PEHP
UT
01
—
870545614GWW
EDUCATORS MUTUAL
UT
01
—
902485
DESERET MUTUAL
UT
05
—
941741
—
AZ
01
—
99473
HEALTHY U
UT
01
—
QM0000075886
ALTIUS
UT
Enumeration date
08/31/2006
Last updated
10/15/2012
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