Anthony S Gordon, Mdpc

NPI 1083809214 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1083809214
Enumeration Date 09/11/2007
Last Updated 09/11/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANTHONY S ANTHONY
Position OWNER
Phone (801) 571-9433
Fax (801) 572-5607
Practice Location
9844 S 1300 E
SUITE #100
SANDY UT, 84094-4673, US
Phone (801) 571-9433
Fax (801) 572-5607
Business Location
9844 S 1300 E
SUITE #100
SANDY UT, 84094-4673, US
Phone (801) 571-9433
Fax (801) 572-5607
Toxanomy
Taxonomy Code 207X00000X
License State Utah
License Number 263767-1205
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According to our database, Anthony S Gordon, Mdpc NPI is 1083809214, taxonomy code is 207X00000X and license number is 263767-1205, license state is located at Utah. Anthony S Gordon, Mdpc physically located at 9844 S 1300 E, Sandy UT, 84094-4673. NPI Number 1033115704 has the healthcare provider type.

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1083809214 NPI number is provided on an as is basis without warranty of any kind. 1083809214 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony S Gordon, Mdpc are for informational purposes only.