MEDICARE: DR. DAVID SCOTT GOURLEY M.D.

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	207K00000X	Allergy & Immunology Physician	90-183859-1205	UT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	030001480	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1838591205	OTHER	UT	UT PROFESSIONAL LICENSE

General Provider Information

NPI Number	:	1477555712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID SCOTT GOURLEY M.D.

Provider Business Mailing Address
First Line	:	1660 W ANTELOPE DR
Second Line	:	STE 225
City	:	LAYTON
State	:	UT
Zip	:	84041-1156
Country	:	US
Telephone Number	:	801-775-9800
Fax Number	:	801-775-9806

Provider Business Practice Location Address
First Line	:	6065 S FASHION BLVD
Second Line	:	STE 255
City	:	MURRAY
State	:	UT
Zip	:	84107-7381
Country	:	US
Telephone Number	:	801-266-4115
Fax Number	:	801-266-4138

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	04/03/2013

Similar Medicare Providers

1639274145 — DR. RICHARD THOMAS BAUMAN DMD
Practice Location Address:

6065 S FASHION BLVD , #275
MURRAY, UT
84107-7381

Practice Phone: 801-590-8687
Practice Fax: 801-590-8617

1124147830 — DR. STEPHEN D HASLAM DDS
Practice Location Address:

6065 FASHION BLVD , SUITE 275
MURRAY, UT
84107-7381

Practice Phone: 801-262-4628
Practice Fax: 801-262-9260

1821273673 — STEPHEN D HASLAM, DDS, PLLC
Practice Location Address:

6065 FASHION BLVD , SUITE 275
MURRAY, UT
84107-7381

Practice Phone: 801-262-4628
Practice Fax: 801-262-9260

1598943136 — MR. MORGAN JAY SMITH D.M.D.
Practice Location Address:

142 W. WINCHESTER ST.
MURRAY, UT
84107-7381

Practice Phone: 801-266-4427
Practice Fax: 801-266-9034

1144648213 — GOURLEY ALLERGY & ASTHMA PC
Practice Location Address:

6065 S FASHION BLVD , STE 255
MURRAY, UT
84107-7381

Practice Phone: 801-266-4115
Practice Fax: 801-266-4138

1649022393 — ANNIE IRENE AZIRI DNP, APRN, PMHNP-BC
Practice Location Address:

6065 S FASHION BLVD
MURRAY, UT
84107-7381

Practice Phone: 801-467-4210
Practice Fax:

Directions to “ DR. DAVID SCOTT GOURLEY M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.