SearchIdaho363L00000X

Hailey Gordon, PA-C

NPI 1275175291 · on the registry since 2019

Practice

Address
260 S Ten Mile Rd
Meridian, ID 83642
Phone
(208) 809-2872
Organisation at this address
Alliance Medical Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-07-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho