Gourley, David Scott

Gourley, David Scott is an individual health care provider with primary practice located at 6065 S Fashion Blvd Ste 255, Murray UT 84107-7381. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Gourley, David Scott can be contacted via phone (801) 266-4115.

Contact Information

Primary practice address
6065 S Fashion Blvd Ste 255 Murray UT 84107-7381
Fax: (801) 266-4138
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 90-183859-1205 Utah

Profile Details

NPI number 1477555712
LBN Legal business name Gourley, David Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Apr 3rd, 2013 - about 12 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 1477555712 NPPES
Other 030001480 RAILROAD MEDICARE
Other 1838591205 RAILROAD MEDICARE

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