Individual
GREGORY D HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
613 E FORT UNION, SUITE #A102, MIDVALE, UT 84047-5531
(801) 294-9333
(801) 294-7558
Mailing address
1580 W ANTELOPE DR STE 280, LAYTON, UT 84041-1222
(801) 773-0925
(801) 773-8625
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
55967831205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55967831202001
BLUE SHIELD
UT
Enumeration date
11/20/2006
Last updated
06/05/2015
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