Theresa Gourde in South Jordan - Internal Medicine
Theresa Gourde - NPI 1487688685
Theresa Gourde is a Internal Medicine in South Jordan, Utah. Theresa Gourde practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Theresa Gourde is 1487688685. The last update date is 2010-04-03.
Theresa Gourde's current location address is 10623 S Redwood Rd, South Jordan, Utah. You can contact this provider via phone number 8013020899 and fax number 8013020892. The mailing address for Theresa Gourde is 10623 S Redwood Rd, South Jordan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa Gourde |
|---|---|
| Address | 10623 S Redwood Rd, South Jordan, Utah |
| Phone Number | 8013020899 |
| Fax Number | 8013020892 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1487688685 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2010-04-03 |
Provider Mailing Address Detail
| Address | 10623 S Redwood Rd |
|---|---|
| City | South Jordan |
| State | Utah (UT) |
| Post Code | 840952481 |
| Phone Number | 8013020899 |
| Fax Number | 8013020892 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 111485-1205 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 111485-1205 | UT | MEDICAL LICENSE | |
| 1447360383 | UT | -- | |
| 1982871828 | UT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Theresa Gourde by the Centers for Medicare & Medicaid Services?
The Theresa Gourde has been assigned the NPI (National Provider Identifier) 1487688685 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Theresa Gourde?
The Theresa Gourde is physically situated at 10623 S Redwood Rd, in the city of South Jordan, state of UT, with the postal code 840952481.
What is Theresa Gourde's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Theresa Gourde's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did the Theresa Gourde receive its 1487688685 assignment from the Centers for Medicare & Medicaid Services?
The Theresa Gourde was assigned its 1487688685 by the Centers for Medicare & Medicaid Services on 2006-07-11.
As of what date was the information regarding Theresa Gourde, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Theresa Gourde, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-04-03.
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