MS. Tara Ann Gordon, P.A.

NPI #1962552661 in Flagstaff, Arizona

Provider Information

NPI Number: 1962552661
Entity Type: Individual
Name: MS. Tara Ann Gordon, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Jan 12, 2007
Last Updated: May 6, 2021

Practice Location

Address: 107 E OAK AVE
City: Flagstaff
State: Arizona
ZIP Code: 86001-1818
Phone: (928) 779-7880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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