Search › Utah › 207Q00000X
Shane Gagon, M.D
NPI 1508951328 · on the registry since 2006
Practice
- Address
- 377 N Fairgrounds Rd
Price, UT 84501 - Phone
- (435) 613-2200
- Fax
- (435) 613-2201
- Organisation at this address
- Scott C Justesen, Md, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah