IndividualActive
Gary Godfrey, APRN
NPI 1376181891 · Occupational Medicine Physician · Salt Lake City, UT
Provider details
- NPI number
- 1376181891
- Entity type
- Individual
- Primary specialty
- Occupational Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- License
- 217034-4405 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
299 S Main St Ste 1700
Salt Lake City, UT 84111-2279
Phone: (801) 303-0186
Fax: (801) 880-7599
Approximate (ZIP-level) locationGet directions
Mailing address
299 S Main St Ste 1700
Salt Lake City, UT 84111-2279
Registry dates
- Enumerated
- 2019-12-16
- Last updated
- 2019-12-16
- Certified
- 2019-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.