Edwards, Gary Robert

Edwards, Gary Robert is an individual health care provider with primary practice located at 3000 N Triumph Blvd Ste 330 , Lehi UT 84043-4999. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Edwards, Gary Robert can be contacted via phone (385) 345-3560.

Contact Information

Primary practice address
3000 N Triumph Blvd Ste 330 Lehi UT 84043-4999
Phone: (385) 345-3560
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 5583016-1205 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 5583016-1205 Utah

Profile Details

NPI number 1922425800
LBN Legal business name Edwards, Gary Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2014
Last updated Aug 18th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922425800 NPPES
Utah MEDICAID 1922425800

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