Gordon R. Kimball M.d.,p.c.

NPI #1316270655 in Sandy, Utah

Provider Information

NPI Number: 1316270655
Entity Type: Organization
Organization Name: Gordon R. Kimball M.d.,p.c.
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Sep 17, 2009
Last Updated: Jul 13, 2010

Practice Location

Address: 9844 S 1300 E
Address 2: SUITE 275
City: Sandy
State: Utah
ZIP Code: 84094-4673
Phone: (801) 571-7061

Authorized Official

Name: MRS. CARMA H MORGAN
Title: OFFICE MANAGER
Phone: (801) 571-7061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Orthopaedic Surgery	207X00000X	Primary

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