Individual
COURTNEY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3810 E GRAND AVE, LARAMIE, WY 82070-5179
(307) 721-1794
(907) 721-1795
Mailing address
3810 E GRAND AVE, LARAMIE, WY 82070-5179
(307) 721-1794
(907) 721-1795
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
496
WY
Other
Enumeration date
02/11/2009
Last updated
07/06/2016
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