Organization
GORDON PETTY GEORGE, MD, PC
Active
Other names
InterMountain Pain Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON P GEORGE MD (PRESIDENT)
(801) 431-0100
Entity
Organization
Contact information
Practice address
800 N 700 W, STE 340A, OREM, UT 84057
(801) 431-0100
(801) 431-7354
Mailing address
255 S ALPINE DR, ALPINE, UT 84004-1748
(801) 431-0100
(801) 431-7354
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
166871 1205
UT
Other
Enumeration date
06/27/2006
Last updated
08/22/2020
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