Individual
DR. BRENDEN JAY GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5505 S 900 E, MURRAY, UT 84117-7209
(801) 447-1485
Mailing address
PO BOX 3299, CARSON CITY, NV 89702-3299
(775) 222-0042
(775) 431-1013
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
11238744-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2016
Last updated
05/30/2019
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