Provider Demographics
NPI:1487924486
Name:GARLING, ADAM CHRISTOPHER (PA-C)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:CHRISTOPHER
Last Name:GARLING
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1345 E 3900 S STE 110
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-4403
Mailing Address - Country:US
Mailing Address - Phone:801-272-4219
Mailing Address - Fax:801-272-8565
Practice Address - Street 1:1345 E 3900 S STE 110
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124-4403
Practice Address - Country:US
Practice Address - Phone:801-272-4219
Practice Address - Fax:801-272-8565
Is Sole Proprietor?:No
Enumeration Date:2012-01-06
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPA0620363A00000X
WYPA837363A00000X
UT8164391-1206363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant