Provider Demographics
NPI:1154515765
Name:GAYOWSKI, TIMOTHY J (MD FACS)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:J
Last Name:GAYOWSKI
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Gender:M
Credentials:MD FACS
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Mailing Address - Street 1:DEPARTMENT OF SURGERY
Mailing Address - Street 2:30 NORTH 1900 EAST #3B110 SOM
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84132-0001
Mailing Address - Country:US
Mailing Address - Phone:801-581-6171
Mailing Address - Fax:801-581-4359
Practice Address - Street 1:144 S 500 E
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-1907
Practice Address - Country:US
Practice Address - Phone:775-222-0043
Practice Address - Fax:800-704-8908
Is Sole Proprietor?:No
Enumeration Date:2007-08-28
Last Update Date:2015-12-07
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Provider Licenses
StateLicense IDTaxonomies
UT6668569-8905204F00000X
UT6668569-1205207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery