Search › Utah › 171100000X
Gary Teal, LAC, NMD
NPI 1578344180 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1389 Center Dr Ste 200
Park City, UT 84098 - Phone
- (385) 220-5000
- Fax
- (385) 300-7777
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-10
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