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Dr. Gordon Dale Mills JR., NP
Family Nurse Practitioner in Provo, Utah
NPI 1205356250

Gordon Dale Mills JR. is a Family Nurse Practitioner based in Provo, UT and is specialized in Family. Gordon Dale Mills JR. practices in Provo, UT and has the professional credentials of NP. The NPI Number for Gordon Dale Mills JR. is 1205356250 and holds a License No. 294548-4405 (Utah).

The current practice location address for Gordon Dale Mills JR. is 1055 N 500 W # 212, Provo, UT and can be reached out via phone at 801-812-5033.

Location: 1055 N 500 W # 212, Provo, UT, 84604-3305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205356250
Provider Name
Gordon Dale Mills JR.
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1055 N 500 W # 212, Provo, UT, 84604-3305
Phone Number
801-812-5033
Fax Number
Provider Enumeration Date
06/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1055 N 500 W # 212
City
Provo
State
Utah
Zip
84604-3305
Phone Number
801-812-5033
Fax Number
person
Provider Business Mailing Address Details
Address
1055 N 500 W # 212
City
Provo
State
Utah
Zip
84604-3305
Phone Number
801-812-5033
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
294548-4405 (Utah)
Definition
Definition to come...
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