| Doctor Name: | MR. TIMOTHY S GARVEY |
| NPI Number: | 1003121799 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APRN |
| License Number: | 4854725-4405 |
| Business Practice Address: | 3741 W 12600 S Outpatient Services Riverton, UT - 840657215 |
| Business Phone Number: | 8012851285 |
| Business Fax Number: | |
| Mailing Address: | 100 Mario Capecchi Dr, Department Of Pediatric Neurology SALT LAKE CITY |
| State: | UT |
| Postal Code: | 841131103 |
| Phone Number: | 8016625696 |
| Fax Number: | |
| NPI Enumeration Date: | 08/18/2010 |
| NPI Last Update Date: | 08/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4854725-4405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |