Individual
DR. GARY F HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
375 N MAIN ST STE 103, KAYSVILLE, UT 84037-1272
(801) 368-0671
Mailing address
375 N MAIN ST STE 103, KAYSVILLE, UT 84037-1272
(801) 876-3749
(801) 876-3697
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3088050-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000069025
MEDICARE GROUP
UT
Enumeration date
09/15/2006
Last updated
04/13/2026
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