NPI 1568788214

Gordon Charles Jensen, MD

Practitioner Ophthalmology Physician South Jordan, UT

Practice location

Address: 922 Baxter Dr Suit 110, South Jordan, UT 84095-8613
Phone: (801) 916-9099

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 47925341205 (UT)

Other Ophthalmology providers in Utah →

Registry record

NPI: 1568788214
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Apr 2010
Record last updated: 19 Apr 2010

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.