Gagon, Shane D
Gagon, Shane D is an individual health care provider with primary practice located at 377 N Fairgrounds Rd , Price UT 84501-4208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gagon, Shane D can be contacted via phone (435) 613-2200.Contact Information
Primary practice address
377 N Fairgrounds Rd
Price UT 84501-4208
Phone: (435) 613-2200
Fax: (435) 613-2201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 361555-1205 | Utah |
Profile Details
| NPI number | 1508951328 |
|---|---|
| LBN Legal business name | Gagon, Shane D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Dec 31st, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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