Individual
DR. MICHAEL CHARLES GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7400
(801) 507-7493
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
K9548
TX
207VM0101X
Maternal & Fetal Medicine Physician
Primary
12691562-1205
UT
207VM0101X
Maternal & Fetal Medicine Physician
52364
MT
207VM0101X
Maternal & Fetal Medicine Physician
64996
AZ
207VM0101X
Maternal & Fetal Medicine Physician
K9548
TX
Other
Enumeration date
02/26/2006
Last updated
03/15/2023
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