Dr. Christopher Gordon
Internist - Allergy & Immunology
745 N 500 W Ste 200
Provo
, Utah 84601-1472
Dr. Christopher Gordon
Internist - Allergy & Immunology
745 N 500 W Ste 200
Provo
, Utah 84601-1472
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About
Features
Specialties
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- Dr. Christopher Gordon
- 395 W 12th Ave
- Columbus, OH
- Zip : 43210-1267
- Phone :
Second Address
- Dr. Christopher Gordon
- 745 N 500 W Ste 200
- Provo, UT
- Zip : 84601-1472
- Fax : (801) 375-9290
- Phone : (801) 375-9292
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0201X | Internist - Allergy & Immunology | 11021602-1204 | UT |
National Provider Identifier
| NPI | 1003234873 |
|---|---|
| Provider Name | Dr. Christopher Gordon |
| First Address | Columbus, OH 43210-1267 |
| Second Address | Provo, UT 84601-1472 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2014 |
| Last Update Date | 16/01/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.