Search › Utah › 363A00000X
Lucius Gordon, PA-C
NPI 1396814778 · on the registry since 2006
Practice
- Address
- 5640 S 3500 W
Roy, UT 84067 - Phone
- (801) 773-2838
- Fax
- (801) 773-3025
- Clinicians at this address
- 11
Additional practice sites
- 4301 Mow-Way Road, Fort Sill, OK
- 4301 Mow-Way Road, Fort Sill, OK
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-17
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 Utah