Organization · NPI-2

Anthony S Gordon, Mdpc

Orthopaedic Surgery · Sandy, UT

NPI number1083809214
StatusActive
Last updated in NPPESSep 11, 2007

Details

NPI
1083809214
Entity type
Organization (NPI-2)
Legal business name
Anthony S Gordon, Mdpc
Organization subpart
No
Enumeration date
Sep 11, 2007
Last updated
Sep 11, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery263767-1205UTYes

Practice location

9844 S 1300 E
Suite #100
Sandy, UT 84094-4673

Phone 801-571-9433 · Fax 801-572-5607

Mailing address

9844 S 1300 E
Suite #100
Sandy, UT 84094-4673

Phone 801-571-9433 · Fax 801-572-5607

Authorized official

Anthony S Gordon
Owner
8015719433

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