Tara Ann Gordon in Flagstaff - Physician Assistant
Tara Ann Gordon - NPI 1962552661
Tara Ann Gordon is a Physician Assistant in Flagstaff, Arizona. Tara Ann Gordon practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tara Ann Gordon is 1962552661. The last update date is 2021-05-06.
Tara Ann Gordon's current location address is 107 E Oak Ave, Flagstaff, Arizona. You can contact this provider via phone number 9287797880 and fax number 9287797895. The mailing address for Tara Ann Gordon is 107 E Oak Ave, Flagstaff, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara Ann Gordon |
|---|---|
| Address | 107 E Oak Ave, Flagstaff, Arizona |
| Phone Number | 9287797880 |
| Fax Number | 9287797895 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1962552661 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2021-05-06 |
Provider Mailing Address Detail
| Address | 107 E Oak Ave |
|---|---|
| City | Flagstaff |
| State | Arizona (AZ) |
| Post Code | 860011818 |
| Phone Number | 9287797880 |
| Fax Number | 9287797895 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3598 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Post Comment/ Review Below
What is the unique identification code assigned to Tara Ann Gordon by the Centers for Medicare & Medicaid Services?
The Tara Ann Gordon has been issued the NPI (National Provider Identifier) 1962552661. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tara Ann Gordon?
The Tara Ann Gordon is physically situated at 107 E Oak Ave, in the city of Flagstaff, state of AZ, with the postal code 860011818.
What is Tara Ann Gordon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tara Ann Gordon is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1962552661 to Tara Ann Gordon?
The Tara Ann Gordon received its 1962552661 assignment from the Centers for Medicare & Medicaid Services on 2007-01-12.
When was the information regarding Tara Ann Gordon most recently updated?
The details pertaining to the Tara Ann Gordon, including its address, specialty, and other relevant information, were last refreshed on 2021-05-06.
NPI Number: 1366446767
Address: 835 Se Bishop Blvd, Pullman, WA