| Doctor Name: | DR. GARY L CHILD |
| NPI Number: | 1063492304 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 7112893-1204 |
| Business Practice Address: | 945 W 3200 N Lehi, UT - 840439771 |
| Business Phone Number: | 8017666055 |
| Business Fax Number: | 8886118840 |
| Mailing Address: | 945 W 3200 N, LEHI |
| State: | UT |
| Postal Code: | 840439771 |
| Phone Number: | 8017666055 |
| Fax Number: | 8886118840 |
| NPI Enumeration Date: | 01/20/2006 |
| NPI Last Update Date: | 12/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 7112893-1204 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |