Individual
DR. GARY ELDEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2147
Mailing address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2147
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
153430-8911
UT
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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