Most Relevant Information
Provider Data
| NPI Number: | 1003234873 |
| Provider Name: | CHRISTOPHER GORDON D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 207RA0201X |
| Specialty: | Internal Medicine |
| License Number: | 11021602-1204 |
Most Important Dates
| Enumeration Date: | 03/31/2014 |
| Last Updated: | 01/16/2019 |
Provider Practice Location
745 N 500 W STE 200
PROVO
UT
846011472
Practice Location Phone/Fax
| Phone: | 8013759292 |
| Fax: | 8013759290 |
Provider Mailing Location
395 W 12TH AVE
COLUMBUS
OH
432101267
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |