Provider Demographics
NPI:1144235912
Name:SILVER, GARY S (MD)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:S
Last Name:SILVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3340 NORTH CENTER ST
Mailing Address - Street 2:#800
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-7406
Mailing Address - Country:US
Mailing Address - Phone:801-990-1911
Mailing Address - Fax:801-990-1912
Practice Address - Street 1:4401 HARRISON BOULEVARD
Practice Address - Street 2:MCKAY DEE HOSPITAL
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403
Practice Address - Country:US
Practice Address - Phone:801-507-5248
Practice Address - Fax:801-733-5618
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT79-163873-1205207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT53269OtherHEALTHY U
ID804076000Medicaid
UT870545614SI1OtherEDUCATORS MUTUAL
UT107007319101OtherIHC
UTPR01010OtherMOLINA
UT36503OtherDESERET MUTUAL
UT1502954OtherUMWA
AZ825135Medicaid
UT37818OtherPEHP
UTQM0000075886OtherALTIUS
WY108058000Medicaid
NV100501893Medicaid
UT2090168OtherUNITED HEALTHCARE
UTPR01010OtherMOLINA
UT107007319101OtherIHC
UT050044101Medicare ID - Type UnspecifiedRAILROAD MEDICARE
UT005532748Medicare ID - Type Unspecified