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NPI Code Detail

MEDICARE: GFM HOLDINGS

MEDICARE: GFM HOLDINGS
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1306795984
Entity Type Code : Organization
Provider Name (Legal Business Name) : GFM HOLDINGS
Provider Business Mailing Address
First Line : 1900 N STATE ST
Second Line :
City : PROVO
State : UT
Zip : 84604-1341
Country : US
Telephone Number : 801-373-2001
Fax Number :
Provider Business Practice Location Address
First Line : 1900 N STATE ST
Second Line :
City : PROVO
State : UT
Zip : 84604-1341
Country : US
Telephone Number : 801-373-2001
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. HALEY JACKSON
Credential : MD
Telephone Number : 384-450-9540
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

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Directions to “GFM HOLDINGS ” Practice Location

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