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NPI Code Detail

MEDICARE: GREGORY D HAMMOND MD

MEDICARE:   GREGORY D HAMMOND  MD
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
1207RP1001XPulmonary Disease Physician55967831205UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
155967831202001OTHERUTBLUE SHIELD

General Provider Information

NPI Number : 1942374020
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY D HAMMOND MD
Provider Business Mailing Address
First Line : 1580 W ANTELOPE DR STE 280
Second Line :
City : LAYTON
State : UT
Zip : 84041-1222
Country : US
Telephone Number : 801-773-0925
Fax Number : 801-773-8625
Provider Business Practice Location Address
First Line : 613 E FORT UNION
Second Line : SUITE #A102
City : MIDVALE
State : UT
Zip : 84047-5531
Country : US
Telephone Number : 801-294-9333
Fax Number : 801-294-7558
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2006
Last Update Date : 06/05/2015

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Directions to “ GREGORY D HAMMOND MD” Practice Location

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