| Mr Lucius Nmn Gordon Jr, PA-C | |
|
5640 S 3500 W, Roy, UT 84067-9158 | |
| (801) 773-2838 | |
| (801) 773-3025 |
| Full Name | Mr Lucius Nmn Gordon Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 5640 S 3500 W, Roy, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396814778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 10495233-1206 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Lucius Nmn Gordon Jr, PA-C 1055 N 500 W Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | Mr Lucius Nmn Gordon Jr, PA-C 5640 S 3500 W, Roy, UT 84067-9158 Ph: (801) 773-2838 |
Jessica Wozab, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3485 W 5200 S, Roy, UT 84067 Phone: 801-475-3900 Fax: 801-475-3901 | |
Rodney K Grogan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3485 W 5200 S, Roy, UT 84067 Phone: 801-475-3900 Fax: 801-475-3901 | |
Richard R Russell, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1915 W 5950 S, Roy, UT 84067 Phone: 801-387-8100 | |
Nicholas James Biggs, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1915 W 5950 S, Roy, UT 84067 Phone: 801-387-8100 | |
Jeffery W Anderson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5640 S 3500 W, Roy, UT 84067 Phone: 801-773-2838 Fax: 801-773-3025 | |
Vicki L Berger, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5991 S 3500 W, Roy, UT 84067 Phone: 801-773-8644 Fax: 801-985-0486 | |
Mr. Micheal Shawn Dawson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5640 S 3500 W, Roy, UT 84067 Phone: 801-773-2838 Fax: 801-773-3025 |