Individual
GARY ROBERT EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 N TRIUMPH BLVD STE 330, LEHI, UT 84043-4999
(385) 345-3560
Mailing address
3000 N TRIUMPH BLVD STE 330, LEHI, UT 84043-7188
(385) 345-3560
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
5583016-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922425800
—
UT
Enumeration date
03/27/2014
Last updated
12/11/2024
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