NPI 1609142058
Dyanna H.W. Gordon, CPM
Practice location
- Address
- 2105 Oak Grove Road, Leeds, UT 84746
- Phone
- (435) 215-6514
- Mailing address
- PO Box 460686, Leeds, UT 84746-0686
Registered specialties
Lay Midwife
Primary
Registry record
- NPI
- 1609142058
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Mar 2012
- Record last updated
- 30 Mar 2012
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.