Individual
DR. GORDON B GLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1159 E 200 N, STE200, AMERICAN FORK, UT 84003-2022
(801) 756-5209
(801) 756-5200
Mailing address
1159 E 200 N, STE200, AMERICAN FORK, UT 84003-2022
(801) 756-5209
(801) 756-5200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
165138-1205
UT
Other
Enumeration date
06/29/2006
Last updated
01/19/2011
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