Active NPI
Rocky Mountain Clinical LLC
- General Practice Physician
- Pleasant Grove, UT
National Provider Identifier
1194956342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 150719-1205
- Legal business name
- ROCKY MOUNTAIN CLINICAL LLC
- Practice address
- 1594 W 300 N
Pleasant Grove, UT 84062 - Phone
- (801) 592-8536
- NPI assigned
- Aug 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Garner, M.D.
- Title
- Owner
- Phone
- (801) 592-8536
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 150719-1205 | UT | Primary |
Addresses
Primary practice location
1594 W 300 N
Pleasant Grove, UT 84062
Mailing address
1594 W 3300 N
Pleasant Grove, UT 84062-9041
National Provider Directory
National Provider DirectoryLocations
1594 W 3300 N
Pleasant Grove, UT 84062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249516800000",
"number": "1194956342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1594 W 3300 N",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840629041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1594 W 300 N",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "84062",
"telephone_number": "801-592-8536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKY MOUNTAIN CLINICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-06",
"last_updated": "2009-08-06",
"status": "A",
"authorized_official_last_name": "GARNER",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-592-8536",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "UT",
"license": "150719-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Grove, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.