Dr Gordon B Glade, MD in American Fork, UT - Pediatrics

Dr Gordon B Glade, MD is a Pediatrics physician based in American Fork, Utah. Dr Gordon B Glade is licensed to practice in Utah (license number 165138-1205) and his current practice location is 1159 E 200 N, Ste200, American Fork, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 756-5209.

NPI number for Dr Gordon B Glade is 1699703702 and his current mailing address is 1159 E 200 N, Ste200, American Fork, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699703702.

Contact Information

	Dr Gordon B Glade, MD
	1159 E 200 N, Ste200, American Fork, UT 84003-2022
	(801) 756-5209
	(801) 756-5200

Physician's Profile

Full Name	Dr Gordon B Glade
Gender	Male
Speciality	Pediatrics
Location	1159 E 200 N, American Fork, Utah
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1699703702
Provider Enumeration Date: 06/29/2006
Last Update Date: 01/19/2011

Medical Identifiers

Medical identifiers for Dr Gordon B Glade such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699703702	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	165138-1205 (Utah)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gordon B Glade is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Gordon B Glade, MD 1159 E 200 N, Ste200, American Fork, UT 84003-2022 Ph: (801) 756-5209	Dr Gordon B Glade, MD 1159 E 200 N, Ste200, American Fork, UT 84003-2022 Ph: (801) 756-5209

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Pediatrics Doctors in American Fork, UT

Dr. Tyson Layne Jones, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1159 E 200 N, Suite 200, American Fork, UT 84003 Phone: 801-756-5209 Fax: 801-756-5200
Polly Walker Sheffield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1159 E 200 N, Suite 350, American Fork, UT 84003 Phone: 801-756-4781 Fax: 801-756-5091
Dr. Scott Harris Mumford, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1159 E 200 N, Suite 200, American Fork, UT 84003 Phone: 801-756-5609 Fax: 801-756-5200
Sarah Lyn Ashby, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1159 E 200 N, Ste 200, American Fork, UT 84003 Phone: 801-756-5609 Fax: 801-756-5200
Michael D Whiting, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 48 N 1100 E, Suite C, American Fork, UT 84003 Phone: 801-492-4333 Fax: 801-492-4371
Dr. Marsena E Conner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1159 E 200 N, Suite 200, American Fork, UT 84003 Phone: 801-756-5609 Fax: 801-756-5200
Dr. Ryan B Wilcox, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1159 E 200 N, Suite 200, American Fork, UT 84003 Phone: 801-756-5290 Fax: 801-756-5200

Dr Gordon B Glade, MD - Pediatrics in American Fork, UT