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GORDON SHERMAN PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3730 W 4700 S, SALT LAKE CITY, UT 84129-3457
(801) 213-9200
(801) 213-9202
Mailing address
PO BOX 510708, SALT LAKE CITY, UT 84151-0708
(801) 213-9200
(801) 213-9202

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
114124-1205
UT

Other

Enumeration date
10/13/2006
Last updated
01/30/2014
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