MR. LUCIUS GORDON JR., PA-C
Physician Assistant
Active
Individual
NPI: 1396814778
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 10495233-1206 (UT) |
Frequently Asked Questions
NPI 1396814778 is the National Provider Identifier for MR. LUCIUS GORDON JR., PA-C, a Physician Assistant provider located in Roy, UT. This NPI was enumerated on November 7, 2006.
MR. LUCIUS GORDON JR., PA-C practices at 5640 S 3500 W, Roy, UT 84067.
Quick Facts
- NPI
- 1396814778
- Type
- Individual
- Enumerated
- Nov 7, 2006
- Last Updated
- Mar 17, 2018
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