Individual
PER HANS GESTELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 NORTH MEDICAL DRIVE, SALT LAKE CITY, UT 84113
(801) 588-3813
Mailing address
1733 HERBERT AVENUE, SALT LAKE CITY, UT 84108
(801) 588-3813
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47356531205
UT
208000000X
Pediatrics Physician
Primary
47356531205
UT
Other
Enumeration date
09/19/2006
Last updated
12/10/2021
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