Individual
GERALD ALLEN PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 E 3900 S, SUITE 4B, SALT LAKE CITY, UT 84124-1300
(866) 500-7071
(866) 500-7081
Mailing address
PO BOX 9677, SALT LAKE CITY, UT 84109-9677
(866) 500-7071
(866) 500-7081
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
J8724
TX
208M00000X
Hospitalist Physician
Primary
7763903-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164205001
—
TX
05
—
164205002
—
TX
05
—
164205003
—
TX
05
—
164205004
—
TX
01
—
1770546178
IND. NPI
TX
01
—
8BF107
BCBS
TX
Enumeration date
04/08/2006
Last updated
04/11/2018
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