Provider Demographics
NPI:1033099916
Name:GAFFNEY, GENE
Entity type:Individual
Prefix:
First Name:GENE
Middle Name:
Last Name:GAFFNEY
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:GINO
Other - Middle Name:
Other - Last Name:GAFFNEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EMT
Mailing Address - Street 1:PO BOX 522214
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84152-2214
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:50 N MEDICAL DR
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-0001
Practice Address - Country:US
Practice Address - Phone:801-581-2121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2024040530146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic