MICHAEL GAGON

PRICE, UT
NPI1700807484
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  292947-2401)
Enumeration Date2006-07-21
Last Update Date2015-05-11
Business Address
-- MICHAEL GAGON MPT
590 E 100 N SUITE 1
PRICE, UT 84501-2640
Phone number: 435-613-1500
Mailing Address
-- MICHAEL GAGON MPT
PO BOX 933
PRICE, UT 84501-0933
Phone number: 435-613-1500