# DEER VALLEY CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346107778
- **Authorized official:** DR. ANPO WICAHPI CHARGING THUNDER MD (OWNER, PHYSICIAN)
- **Authorized official phone:** (308) 299-8518

## Contact information

- **Practice address:** 405 W 7TH ST, GORDON, NE 69343-1053
- **Practice address phone:** (308) 299-8518
- **Practice address fax:** (949) 817-0772
- **Mailing address:** 405 W 7TH ST, GORDON, NE 69343-1053
- **Mailing address phone:** (308) 299-8518
- **Mailing address fax:** (949) 817-0772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/07/2026
- **Last updated:** 01/07/2026