Organization
GORDON PERFORMANCE ACUPUNCTURE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY GORDON L.AC. (SOLE MEMBER)
(505) 603-7790
Entity
Organization
Contact information
Practice address
120 S BEAVER ST, FLAGSTAFF, AZ 86001-5602
(505) 603-7790
Mailing address
4420 ASTER LN, FLAGSTAFF, AZ 86001-7874
(505) 603-7790
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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