Individual provider · Type 1 NPI

Chanel Gordon

Prosthetics Case Management · Mesa, AZ

NPI number 1184267346 Active

Practice location

1731 W Baseline Rd Ste 107
Mesa, AZ 85202-5730

Specialties and licenses

TaxonomyCodeLicense
Prosthetics Case Management Primary 1744P3200XNone listed

Prosthetics Case Management: A case manager who provides services for patients with prosthetics.

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About NPI 1184267346

Chanel Gordon's National Provider Identifier is 1184267346, issued on Oct 21, 2019. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Mesa, AZ. The record was last updated on Oct 21, 2019.