Individual
AMY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1926 N 3RD ST STE 100, FLAGSTAFF, AZ 86004-4332
(928) 856-0656
Mailing address
1080 5TH AVE APT 14, NEW YORK, NY 10128-0102
(505) 603-7790
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1118
AZ
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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