Dr TISHA C GORDON is a female medical professional, specializing in Certified Registered Nurse Anesthetist (crna). She graduated in 2009.
LONE PEAK ANESTHESIA LC
170 N 1100
AMERICAN FOLK
UT
840032961
Tel: 8017633300
| Npi | 1720310253 |
| Pac Id | 7618002767 |
| Professional Enrollment Id | I20100316000110 |
| Last Name | GORDON |
| First Name | TISHA |
| Middle Name | C |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2009 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | LONE PEAK ANESTHESIA LC |
| Group Practice Pac Id | 9436057346 |
| Number Of Group Practice Members | 29 |
| Line 1 Street Address | 170 N 1100 |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | AMERICAN FOLK |
| State | UT |
| Zip Code | 840032961 |
| Phone Number | 8017633300 |
| Hospital Affiliation Ccn 1 | 460023 |
| Hospital Affiliation Lbn 1 | AMERICAN FORK HOSPITAL |
| Hospital Affiliation Ccn 2 | 460043 |
| Hospital Affiliation Lbn 2 | OREM COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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