Individual
GORDON W. AFFLECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1517 S 1500 E, BOUNTIFUL, UT 84010-1540
(801) 292-6356
Mailing address
1517 S 1500 E, BOUNTIFUL, UT 84010-1540
(801) 292-6356
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
149324-1205
UT
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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