MR. Lucius Nmn Gordon JR., PA-C

NPI #1396814778 in Roy, Utah

Provider Information

NPI Number: 1396814778
Entity Type: Individual
Name: MR. Lucius Nmn Gordon JR., PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 7, 2006
Last Updated: Mar 17, 2018

Practice Location

Address: 5640 S 3500 W
City: Roy
State: Utah
ZIP Code: 84067-9158
Phone: (801) 773-2838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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