Individual
SAMANTHA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3434 S 67TH AVE, PHOENIX, AZ 85043-6523
(623) 474-7700
Mailing address
4515 S 24TH DR, PHOENIX, AZ 85041-2011
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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