Provider Demographics
NPI:1649328170
Name:GURNEY, PAUL HAROLD (DC)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:HAROLD
Last Name:GURNEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 E. 800 S.
Mailing Address - Street 2:#101
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097
Mailing Address - Country:US
Mailing Address - Phone:801-234-6325
Mailing Address - Fax:801-221-1655
Practice Address - Street 1:381 E. 800 S.
Practice Address - Street 2:#101
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84097
Practice Address - Country:US
Practice Address - Phone:801-234-6325
Practice Address - Fax:801-221-1655
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT358787-1202111N00000X
UT3948111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT870395551005Medicaid
UTD5179OtherMEDICAID
UT000218OtherCHP
UT1027205OtherASHN
UT000218OtherCHP