Healthcare Provider Details

I. General information

NPI: 1316385495
Provider Name (Legal Business Name): DANIEL B. GARVIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: DAN GARVIN M.D.

II. Dates (important events)

Enumeration Date: 06/11/2013
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 E 100 N STE 6
PRICE UT
84501
US

IV. Provider business mailing address

330 SEVEN SPRINGS WAY
BRENTWOOD TN
37027-5098
US

V. Phone/Fax

Practice location:
  • Phone: 435-637-1100
  • Fax: 435-636-7040
Mailing address:
  • Phone: 615-920-7723
  • Fax: 615-920-8775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number9687295-1205
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberR-9721
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: