Individual
DR. CHRISTOPHER GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
745 N 500 W STE 200, PROVO, UT 84601-1472
(801) 375-9292
(801) 375-9290
Mailing address
745 N 500 W STE 200, PROVO, UT 84601-1472
(801) 375-9292
(801) 375-9290
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
110216021204
UT
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
11021602-1204
UT
Other
Enumeration date
03/31/2014
Last updated
01/13/2025
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