Individual
GORDON WALTER DUVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
196 E 2000 N STE 104, TOOELE, UT 84074-9335
(435) 882-9035
(435) 843-1411
Mailing address
PO BOX 5009, BRENTWOOD, TN 37024-5009
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
103604536-1204
UT
Other
Enumeration date
07/02/2014
Last updated
10/13/2020
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