Gordon B. Glade, M.D.

Pediatrics Physician · American Fork, UT

Individual Active NPI

NPI number 1699703702

Practice location

1159 E 200 N
Ste200
American Fork, UT 84003-2022
Phone
(801) 756-5209
Fax
(801) 756-5200

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NPI record

NPI
1699703702
Entity type
Individual (Type 1)
Enumeration date
June 29, 2006
Last updated
January 19, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 165138-1205 UT

About Dr. Glade

Gordon B. Glade, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 1159 E 200 N, Ste200, American Fork, UT 84003-2022. The NPI number 1699703702 was assigned on June 29, 2006 and the record was last updated on January 19, 2011.

Dr. Glade lists a license in the registry: #165138-1205 (UT) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gordon B. Glade, M.D.?

The NPI number is 1699703702.

What is the phone number of Dr. Glade?

The phone number listed for the practice location is (801) 756-5209.

Where is Dr. Glade located?

1159 E 200 N, Ste200, American Fork, UT 84003-2022.

What is the taxonomy code for Dr. Glade?

The primary taxonomy code is 208000000X – Pediatrics Physician.

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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