MEDICARE: ADAM CHRISTOPHER GARLING PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA0620	NV
2	363A00000X	Physician Assistant	PA837	WY
3	363A00000X	Physician Assistant	8164391-1206	UT

General Provider Information

NPI Number	:	1487924486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM CHRISTOPHER GARLING PA-C

Provider Business Mailing Address
First Line	:	1345 E 3900 S STE 110
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-4403
Country	:	US
Telephone Number	:	801-272-4219
Fax Number	:	801-272-8565

Provider Business Practice Location Address
First Line	:	1345 E 3900 S STE 110
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-4403
Country	:	US
Telephone Number	:	801-272-4219
Fax Number	:	801-272-8565

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2012
Last Update Date	:	04/26/2024

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