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GEORGE C GOURLEY DO NPI 1134435837


NPI Information

NPI: 1134435837
Provider Name: GEORGE C GOURLEY, DO
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
1055 N 300 W
SUITE 305
PROVO, UT
ZIP 84604
Phone: (801) 357-7190
Get Directions

GEORGE C GOURLEY, DO is a gynecology obstetrics gynecology in Provo, UT. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee GEORGE C GOURLEY, DO NPI is 1134435837. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1055 N 300 W
SUITE 305
PROVO, UT
ZIP 84604-344
Phone: (801) 357-7190
Fax: (801) 356-3107

The provider's authorized official is Shanna Cushing .
The authorized official title is Coding, Billing and has the following contact phone number (801) 357-7190.

The enumeration date for this NPI number is 8/19/2010 and was last updated on 8/19/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecology180191-1204UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1528785217006MEDICAIDUTAH
2C90872MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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