DR. GORDON GLADE, M.D.
Pediatrics
Active
Individual
NPI: 1699703702
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pediatrics | 208000000X | Yes | 165138-1205 (UT) |
Frequently Asked Questions
NPI 1699703702 is the National Provider Identifier for DR. GORDON GLADE, M.D., a Pediatrics provider located in American Fork, UT. This NPI was enumerated on June 29, 2006.
DR. GORDON GLADE, M.D. practices at 1159 E 200 N, STE200, American Fork, UT 84003.
Quick Facts
- NPI
- 1699703702
- Type
- Individual
- Enumerated
- Jun 29, 2006
- Last Updated
- Jan 19, 2011
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