IndividualActive
Christopher Gordon, D.O.
NPI 1003234873 · Allergy & Immunology Physician · Provo, UT
Provider details
- NPI number
- 1003234873
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 11021602-1204 (UT)
Practice location
745 N 500 W Ste 200
Provo, UT 84601-1472
Phone: (801) 375-9292
Fax: (801) 375-9290
Mailing address
745 N 500 W Ste 200
Provo, UT 84601-1472
Registry dates
- Enumerated
- 2014-03-31
- Last updated
- 2025-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.