Tara A. Gordon, P.A.
Physician Assistant · Flagstaff, AZ
UnclaimedP.A.NPI 1962552661
- Primary taxonomy
- 363A00000X
- Enumerated
- 2007-01-12
- Practice location
- Flagstaff, AZ
- Last NPPES update
- 2021-05-06
State licenses
- AZ · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.