Crystal Miquel Gordon

Specialist · West Jordan, UT

Individual Active NPI

NPI number 1184069403

Practice location

1990 W 7800 S
West Jordan, UT 84088-4025
Phone
(801) 748-1229

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NPI record

NPI
1184069403
Entity type
Individual (Type 1)
Enumeration date
April 30, 2013
Last updated
April 30, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X — —

Mailing address

4444 S 700 E
Salt Lake City, UT 84107-3075
Phone
(435) 773-5550

About Crystal Gordon

Crystal Miquel Gordon is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 1990 W 7800 S, West Jordan, UT 84088-4025. The NPI number 1184069403 was assigned on April 30, 2013 and the record was last updated on April 30, 2013.

Frequently asked questions

What is the NPI number of Crystal Miquel Gordon?

The NPI number is 1184069403.

What is the phone number of Crystal Gordon?

The phone number listed for the practice location is (801) 748-1229.

Where is Crystal Gordon located?

1990 W 7800 S, West Jordan, UT 84088-4025.

What is the taxonomy code for Crystal Gordon?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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