# GORDON PETTY GEORGE, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** InterMountain Pain Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962439570
- **Authorized official:** DR. GORDON P GEORGE MD (PRESIDENT)
- **Authorized official phone:** (801) 431-0100

## Contact information

- **Practice address:** 800 N 700 W, STE 340A, OREM, UT 84057
- **Practice address phone:** (801) 431-0100
- **Practice address fax:** (801) 431-7354
- **Mailing address:** 255 S ALPINE DR, ALPINE, UT 84004-1748
- **Mailing address phone:** (801) 431-0100
- **Mailing address fax:** (801) 431-7354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 166871 1205 | UT | Yes |

## Other

- **Enumeration date:** 06/27/2006
- **Last updated:** 08/22/2020