DR. DAVID SCOTT GOURLEY M.D.

Allergy and Immunology

Murray, Utah

Provider NPI: 1477555712

Provider Information:
DR. DAVID SCOTT GOURLEY M.D.


Practice Location:
6065 S FASHION BLVD STE 255 MURRAY, UT 84107 US
Tel: 801-266-4115  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	UT	90-183859-1205

Other Provider Identifiers:

Issuer	Number	State	Type
UT PROFESSIONAL LICENSE	1838591205	UT	01
RAILROAD MEDICARE	030001480		01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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