Gary Vaughan Halversen, M.D. Valid NPI

Individual provider · Diagnostic Radiology Physician · Provo, UT

NPI

1487625869

Type

Individual (Type 1)

Primary specialty

Diagnostic Radiology Physician (Radiology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2085R0202X

License number

5176697-1205 (UT)

Sex

Male

Sole proprietor

No

Enumerated

2006-02-01

Last updated

2015-10-09