Search › Utah › 207V00000X
Gordon Park, MD
NPI 1881784403 · on the registry since 2006
Practice
- Address
- 3730 W 4700 S
Salt Lake City, UT 84129 - Phone
- (801) 213-9200
- Fax
- (801) 213-9202
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah