person
Mr. Garrett Ryan Gundry, PA-C
Medical Physician Assistant in Logan, Utah
NPI 1407373640

Garrett Ryan Gundry is a Medical Physician Assistant based in Cornish, UT and is specialized in Medical. Garrett Ryan Gundry practices in Logan, UT and has the professional credentials of PA-C. The NPI Number for Garrett Ryan Gundry is 1407373640 and holds a License No. 12819884-1206 (Utah).

The current practice location address for Garrett Ryan Gundry is 115 Golf Course Rd Ste E, Logan, UT and can be reached out via phone at 435-999-4059 and via fax at 435-213-2800. You can also correspond with Garrett Ryan Gundry through the mailing address at 12002 N 5600 W, CORNISH, UT - 84308-1712 (mailing address contact number: 208-380-0251).

Location: 115 Golf Course Rd Ste E, Logan, UT, 84308-1712
person
Provider Profile Details
NPI Number
1407373640
Provider Name
Garrett Ryan Gundry
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
115 Golf Course Rd Ste E, Logan, UT, 84308-1712
Phone Number
435-999-4059
Fax Number
435-213-2800
Provider Enumeration Date
08/28/2017
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
115 Golf Course Rd Ste E
City
State
Zip
84321-5934
Phone Number
435-999-4059
Fax Number
435-213-2800
person
Provider Business Mailing Address Details
Address
115 Golf Course Rd Ste E
City
State
Zip
84321-5934
Phone Number
435-999-4059
Fax Number
435-213-2800
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
12819884-1206 (Utah)
Definition
Definition to come...
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