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
Phone: (801) 266-4115
Fax: (801) 266-4138
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477555712 | NPPES |
| Other | 030001480 | RAILROAD MEDICARE | |
| Other | 1838591205 | RAILROAD MEDICARE |
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