DR. Gordon B Glade, M.D.

NPI #1699703702 in American Fork, Utah

Provider Information

NPI Number: 1699703702
Entity Type: Individual
Name: DR. Gordon B Glade, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Jun 29, 2006
Last Updated: Jan 19, 2011

Practice Location

Address: 1159 E 200 N
Address 2: STE200
City: American Fork
State: Utah
ZIP Code: 84003-2022
Phone: (801) 756-5209

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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