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Contact Information

JAIME GORDON
16807 E PALISADES BLVD STE 101
FOUNTAIN HILLS, AZ85268-8438
 Phone: 480-765-2677
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Technician

374700000X
Indicates primary specialty

NPI Profile & details for JAIME GORDON · (Female)

NPI Number 1720405962
Status Active
Credentials
Entity Individual
Enumeration date 03/26/2014
Last updated 03/05/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 4454
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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