National Provider Identifier Database

GARY L CHILD, DO – NPI #1063492304
Geriatric Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.


Contact Information

GARY L CHILD, DO
945 W 3200 N
LEHI, UT84043-9771
Phone: 801-766-6055
Fax: 888-611-8840
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207QG0300X
Adult Medicine 207QA0505X
Hospice and Palliative Medicine 207QH0002X
Interventional Pain Medicine 208VP0014X

* Indicates primary specialty

NPI Profile & details for GARY L CHILD

NPI Number 1063492304
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/20/2006
Last updated 12/14/2011 - About 14 years ago
Sole proprietor1 Yes
Identifiers
  • UT License #: 71112893-1204
  • UT License #: 7112893-1204
  • UT Medicaid: 1063492304
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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