Individual
TODD GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14425 S BITTERBRUSH LN, DRAPER, UT 84020-9501
(801) 576-7000
Mailing address
890 E 1100 S, OREM, UT 84097-6629
(801) 602-1248
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10074125-1206
UT
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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