Gordon, Tara Ann
Gordon, Tara Ann is an individual health care provider with primary practice located at 107 E Oak Ave , Flagstaff AZ 86001-1818. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gordon, Tara Ann can be contacted via phone (928) 779-7880.Contact Information
Primary practice address
107 E Oak Ave
Flagstaff AZ 86001-1818
Phone: (928) 779-7880
Fax: (928) 779-7895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3598 | Arizona |
Profile Details
| NPI number | 1962552661 |
|---|---|
| LBN Legal business name | Gordon, Tara Ann |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | May 6th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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