Bryan D. Gordon P.c. | |
2618 W 7800 S, Ste 200, West Jordan, UT 84088-4208 | |
(801) 562-1531 | |
Not Available |
Full Name | Bryan D. Gordon P.c. |
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Type | Facility |
Speciality | Chiropractor |
Location | 2618 W 7800 S, West Jordan, Utah |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477704484 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 2774306-1202 (Utah) | Primary |
Provider Name | Bryan D Gordon |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1093888232 PECOS PAC ID: 4284547993 Enrollment ID: I20031110000367 |
Mailing Address | Practice Location Address |
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Bryan D. Gordon P.c. Po Box 95928, South Jordan, UT 84095-0928 Ph: () - | Bryan D. Gordon P.c. 2618 W 7800 S, Ste 200, West Jordan, UT 84088-4208 Ph: (801) 562-1531 |
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