GREGORY T AUSTAD

TANNER MEMORIAL CLINIC

Dr GREGORY T AUSTAD is a male medical professional, specializing in Internal Medicine. He graduated in 2003 from University Of Cincinnati College Of Medicine.

Contact

TANNER MEMORIAL CLINIC

2121 N 1700
TANNER CLINIC
LAYTON
UT
840418803

Tel: 8017734840

GREGORY T AUSTAD Information

Npi 1558574087
Pac Id 0840446274
Professional Enrollment Id I20120817000164
Last Name AUSTAD
First Name GREGORY
Middle Name T
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year 2003
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name TANNER MEMORIAL CLINIC
Group Practice Pac Id 4284547985
Number Of Group Practice Members 142
Line 1 Street Address 2121 N 1700
Line 2 Street Address TANNER CLINIC
Marker Of Address Line 2 Suppression
City LAYTON
State UT
Zip Code 840418803
Phone Number 8017734840
Hospital Affiliation Ccn 1 460041
Hospital Affiliation Lbn 1 DAVIS HOSPITAL AND MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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