Halversen, Gary Vaughan

Halversen, Gary Vaughan is an individual health care provider with primary practice located at 1034 N 500 W , Provo UT 84604-3380. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Halversen, Gary Vaughan can be contacted via phone (801) 225-6246.

Contact Information

Primary practice address
1034 N 500 W Provo UT 84604-3380
Fax: (801) 225-1525
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5176697-1205 Utah

Profile Details

NPI number 1487625869
LBN Legal business name Halversen, Gary Vaughan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Oct 9th, 2015 - about 9 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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