MEDICARE: GAD 3 LLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1538997119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GAD 3 LLC

Provider Business Mailing Address
First Line	:	3401 N THANKSGIVING WAY STE 190
Second Line	:
City	:	LEHI
State	:	UT
Zip	:	84048-4157
Country	:	US
Telephone Number	:	385-454-5027
Fax Number	:	801-742-8381

Provider Business Practice Location Address
First Line	:	1950 BARING BLVD
Second Line	:
City	:	SPARKS
State	:	NV
Zip	:	89434-6735
Country	:	US
Telephone Number	:	385-454-5027
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AARON ANDERSON
Credential	:
Telephone Number	:	385-454-5027

Provider Enumeration Date	:	07/24/2024
Last Update Date	:	08/19/2025

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Directions to “GAD 3 LLC ” Practice Location

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