Individual
DR. BRIAN GARY DRAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4460 SO HIGHLAND DR, #400, SALT LAKE CITY, UT 84124
(801) 272-4111
(801) 272-5989
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
348406-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000065216
MEDICARE PTAN
UT
Enumeration date
11/07/2006
Last updated
02/10/2026
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