Shane D Gagon, M.D.

NPI #1508951328 in Price, Utah

Provider Information

NPI Number: 1508951328
Entity Type: Individual
Name: Shane D Gagon, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Oct 4, 2006
Last Updated: Dec 31, 2021

Practice Location

Address: 377 N FAIRGROUNDS RD
City: Price
State: Utah
ZIP Code: 84501-4208
Phone: (435) 613-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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