Hailey M Gordon, PA-C

NPI #1275175291 in Meridian, Idaho

Provider Information

NPI Number
1275175291
Entity Type
Individual
Name
Hailey M Gordon, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
PA-C
Enumeration Date
Oct 10, 2019
Last Updated
Jul 14, 2021

Practice Location

Address
260 S TEN MILE RD
State
Idaho
ZIP Code
83642-6100
Phone
(208) 809-2872

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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