Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619383304 Individual Practitioner Male Practitioner

Dr. Gordon Walter Duval , DO

Pediatrics • Tooele, UT

Professional Overview & Biography Verified Profile Summary

Dr. Gordon Duval, DO is a registered healthcare professional specializing in Pediatrics in Tooele, UT. Practice services are available at 196 E 2000 N STE 104 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

196 E 2000 N Ste 104

Tooele, UT 840749335

Telephone 4358829035
Fax 4358431411
Associated Practice Facility / Clinic
🏢 San Miguel Clinic Corp Facility NPI 1114920717

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Tooele, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
4 Specialists

Practicing in Tooele, UT (688 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-13
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License UT 103604536-1204

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1902118714

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location October 13, 2020

Registered at 196 E 2000 N STE 104, TOOELE, UT 840749335 (Tel: 4358829035)

📍
Updated Business Mailing Address October 13, 2020

Registered at PO BOX 5009, BRENTWOOD, TN 370245009

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2019

Pediatrics (License #103604536-1204 in UT)

NPI Profile Active July 31, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2017

Registered at 48 W 1500 N, NEPHI, UT 846488900 (Tel: 4356233200)

📍
Updated Business Mailing Address July 31, 2017

Registered at 48 W 1500 N, NEPHI, UT 846488900 (Tel: (435) 623-3200)

👤
Provider Name / Credentials Updated July 31, 2017

Recorded as GORDON DUVAL, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2017

Pediatrics (License #2014020156 in MO)

NPI Profile Active July 02, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2014

Registered at 404 N KEENE ST, COLUMBIA, MO 652016626 (Tel: 5738824438)

📍
Updated Business Mailing Address July 02, 2014

Registered at 400 N KEENE ST, COLUMBIA, MO 652016626 (Tel: 5738824438)

👤
Provider Name / Credentials Updated July 02, 2014

Recorded as GORDON DUVAL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2014

Pediatrics (License #2014020156 in MO)

🟢
Initial NPI Registration & Enumeration July 02, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619383304
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2014
Last Update: October 13, 2020
Sole Proprietor: Yes

Mailing Address

Po Box 5009

Brentwood, TN 370245009

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.