Gordon B Glade in American Fork - Pediatrics

Gordon B Glade - NPI 1699703702

Gordon B Glade is a Pediatrics in American Fork, Utah. Gordon B Glade practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Gordon B Glade is 1699703702. The last update date is 2011-01-19.

Gordon B Glade's current location address is 1159 E 200 N, American Fork, Utah. You can contact this provider via phone number 8017565209 and fax number 8017565200. The mailing address for Gordon B Glade is 1159 E 200 N, American Fork, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Gordon B Glade
Address 1159 E 200 N, American Fork, Utah
Phone Number 8017565209
Fax Number 8017565200
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1699703702
Provider Enumeration Date 2006-06-29
Last Updated Date 2011-01-19

Provider Mailing Address Detail

Address 1159 E 200 N
City American Fork
State Utah (UT)
Post Code 840032022
Phone Number 8017565209
Fax Number 8017565200

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 165138-1205
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

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FAQs about Gordon B Glade

What is the unique provider identifier assigned to Gordon B Glade?

The Gordon B Glade has been issued the NPI (National Provider Identifier) 1699703702 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Gordon B Glade located?

The Gordon B Glade is located at 1159 E 200 N, American Fork, UT 840032022.

What is Gordon B Glade's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Gordon B Glade is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1699703702 to Gordon B Glade?

The Gordon B Glade received its 1699703702 assignment from the Centers for Medicare & Medicaid Services on 2006-06-29.

As of what date were the details pertaining to Gordon B Glade last refreshed?

The information related to the Gordon B Glade, including its address, specialty, and other relevant details, was last updated on 2011-01-19.

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