IndividualActive
Chanel Gordon
NPI 1184267346 · Prosthetics Case Management · Mesa, AZ
Provider details
- NPI number
- 1184267346
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
1731 W Baseline Rd Ste 107
Mesa, AZ 85202-5730
Phone: (480) 687-2336
Approximate (ZIP-level) locationGet directions
Mailing address
1731 W Baseline Rd Ste 107
Mesa, AZ 85202-5730
Registry dates
- Enumerated
- 2019-10-21
- Last updated
- 2019-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.