Provider Demographics
NPI:1770530800
Name:TREIMAN, GERALD SAUL (MD)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:SAUL
Last Name:TREIMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 FOOTHILL DRIVE
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84103
Mailing Address - Country:US
Mailing Address - Phone:801-582-1565
Mailing Address - Fax:801-606-2795
Practice Address - Street 1:500 FOOTHILL DRIVE
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84103
Practice Address - Country:US
Practice Address - Phone:801-582-1565
Practice Address - Fax:801-606-2795
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3233851205208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery