Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY L CHILD, DO
Active Sole ProprietorGeriatric Medicine · LEHI, UT
Registration Details
- NPI Number
- 1063492304
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 20, 2006 (20.249009835573 yrs)
- Last Updated
- Dec 14, 2011
- Licenses
-
71112893-1204 (UT)7112893-1204 (UT)71112893-1204 (UT)71112893-1204 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
945 W 3200 NLEHI, UT, 840439771Browse UT providers · Browse ZIP 84043
- Phone
- 8017666055
- Fax
- 8886118840
- Primary Specialty
-
Geriatric Medicine
207QG0300X
- Additional Specialty
- Adolescent Medicine
- Additional Specialty
- Hospice and Palliative Medicine
- Additional Specialty
- Interventional Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.