Individual
DEANNA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DEM
Contact information
Practice address
1685 E 1950 N, HEBER CITY, UT 84032-3463
(801) 836-5975
Mailing address
1685 E 1950 N, HEBER CITY, UT 84032-3463
(801) 836-5975
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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