Individual
DR. CARRIE ANN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 W LAYTON PARKWAY, SUITE 4C, LAYTON, UT 84041
(801) 475-3240
(801) 475-3241
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
(801) 475-3494
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
340625-1205
UT
207V00000X
Obstetrics & Gynecology Physician
A88549
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992772644
—
UT
Enumeration date
03/01/2006
Last updated
03/08/2021
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