SHANE D GAGON MD PC NPI 1982815064

NPI Information

SHANE D GAGON MD, PC is a family medicine in Price, UT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SHANE D GAGON MD, PC NPI is 1982815064. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Castle Country Family Medicine.

The provider's business location address is:

377 NO. FAIRGROUNDS RD.
PRICE, UT
ZIP 84501-211
Phone: (435) 613-2200
Fax: (435) 613-2201

The provider's authorized official is Pat A Stapley .
The authorized official title is Billing and has the following contact phone number (435) 613-2210.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 12/1/2010.

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:

Other Identifiers

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