Individual provider · Type 1 NPI

Gary Vaughan Halversen, MD

Diagnostic Radiology Physician · Provo, UT

NPI number 1487625869 Active

Practice location

1034 N 500 W
Provo, UT 84604-3380

Call (801) 225-6246 Map

Fax (801) 225-1525

Mailing address

560W 800 N
Orem, UT 84057-3746

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X5176697-1205 (UT)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1487625869

Gary Vaughan Halversen, MD's National Provider Identifier is 1487625869, issued on Feb 1, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Provo, UT. The record was last updated on Oct 9, 2015.