Individual provider · Type 1 NPI

Garrett Ryan Gundry, PA-C

Medical Physician Assistant · Logan, UT

NPI number 1407373640 Active

Practice location

115 Golf Course Rd Ste E
Logan, UT 84321-5934

Fax (435) 213-2800

Mailing address

12002 N 5600 W
Cornish, UT 84308-1712

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X12819884-1206 (UT)

Medical Physician Assistant: Definition to come...

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About NPI 1407373640

Garrett Ryan Gundry, PA-C's National Provider Identifier is 1407373640, issued on Aug 28, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Logan, UT. The record was last updated on Mar 28, 2024.