NPI 1609842053 · live from the CMS NPI Registry
Michael Charles Gordon, MD
Obstetrics & Gynecology, Maternal & Fetal Medicine in Murray, UT. National Provider Identifier 1609842053, active.
NPI record
| NPI | 1609842053 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology, Maternal & Fetal Medicine 207VM0101X |
| Practice location | 5121 S Cottonwood St, Murray, UT 84107 |
| Practice phone | 801-507-7400 |
| Mailing address | Po Box 27128, Salt Lake City, UT 84127 |
| Enumerated | February 26, 2006 |
| Last updated | March 15, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology | 207V00000X | K9548 (TX) |
| Obstetrics & Gynecology, Maternal & Fetal Medicine | 207VM0101X | 52364 (MT) |
| Obstetrics & Gynecology, Maternal & Fetal Medicine | 207VM0101X | K9548 (TX) |
| Obstetrics & Gynecology, Maternal & Fetal Medicine | 207VM0101X | 64996 (AZ) |
| Obstetrics & Gynecology, Maternal & Fetal Medicine primary | 207VM0101X | 12691562-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.