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NPI 1134435837

OrganizationActive

George C Gourley, DO

NPI 1134435837 · Gynecology Physician · Provo, UT

Provider details

NPI number: 1134435837
Entity type: Organization
Primary specialty: Gynecology PhysicianAllopathic & Osteopathic Physicians
Authorized official: Shanna Cushing, Coding, Billing
License: 180191-1204 (UT)

Practice location

1055 N 300 W

Suite 305

Provo, UT 84604-3344

Phone: (801) 357-7190

Fax: (801) 356-3107

More UT providers

Mailing address

1055 N 300 W

Provo, UT 84604-3344

Registry dates

Enumerated: 2010-08-19
Last updated: 2010-08-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

George C Gourley, DO — NPI 1134435837, Provo, UT | NPI Central