Individual provider · NPI-1

Anthony Scott Gordon, MD

Orthopaedic Surgery · Sandy, UT

NPI number1811983380
StatusActive
Last updated in NPPESOct 2, 2012

Details

NPI
1811983380
Entity type
Individual (NPI-1)
Name
Anthony Scott Gordon
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 21, 2005
Last updated
Oct 2, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery2637671205UTYes

Practice location

9844 S 1300 E
Ste 100
Sandy, UT 84094-4673

Phone 801-571-9433 · Fax 801-572-5607

Mailing address

9844 S 1300 E
Ste 100
Sandy, UT 84094-4673

Phone 801-571-9433 · Fax 801-572-5607

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