Glade, Gordon B
Glade, Gordon B is an individual health care provider with primary practice located at 1159 E 200 N Ste200, American Fork UT 84003-2022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Glade, Gordon B can be contacted via phone (801) 756-5209.Contact Information
Primary practice address
1159 E 200 N Ste200
American Fork UT 84003-2022
Phone: (801) 756-5209
Fax: (801) 756-5200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 165138-1205 | Utah |
Profile Details
| NPI number | 1699703702 |
|---|---|
| LBN Legal business name | Glade, Gordon B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Jan 19th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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