Whalio Doctors

NPI 1578545919

Gordon R Kimball, MD

Practitioner Orthopaedic Surgery Physician Sandy, UT

Practice location

Address
9844 S 1300 E #275, Sandy, UT 84094-4692
Phone
(801) 571-7061
Fax
(801) 571-9277

Registered specialties

Orthopaedic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 0551110013 (UT)

Registry record

NPI
1578545919
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Nov 2005
Record last updated
27 Mar 2008

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.