George C Gourley, Do

LBN: George C Gourley, Do
George C Gourley, Do is an health care organization with primary practice located at 1055 N 300 W Suite 305, Provo UT 84604-3344. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as the primary health care specialty. George C Gourley, Do can be contacted via phone (801) 357-7190, or through Cushing, Shanna via phone (801) 357-7190.

Contact Information

Primary practice address
1055 N 300 W Suite 305 Provo UT 84604-3344
Phone: (801) 357-7190
Fax: (801) 356-3107
Website:
Map and Directions
Authorized official contact:
Name: Cushing, Shanna CPC
Phone: (801) 357-7190

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 180191-1204 Utah

Profile Details

NPI number 1134435837
LBN Legal business name George C Gourley, Do
DBA Doing business as
Authorized official Cushing, Shanna CPC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2010
Last updated Aug 19th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134435837 NPPES
Utah MEDICAID 528785217006

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