Whalio Doctors

NPI 1013061688

Gordon Thier Oremland, MD

Practitioner Family Medicine Physician Draper, UT

Practice location

Address
12422 S 450 E, Draper, UT 84020-8050
Phone
(801) 748-1600
Fax
(801) 748-1601
Mailing address
7235 Ponderosa Dr, Salt Lake City, UT 84121-4961

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 5668757-1205 (UT)

Registry record

NPI
1013061688
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Jan 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.