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NPI Code Detail

MEDICARE: DR. ELIZABETH GORDON D.O

MEDICARE: DR. ELIZABETH GORDON D.O
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician300737NY
2207V00000XObstetrics & Gynecology PhysicianP31321MD

General Provider Information

NPI Number : 1578940979
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH GORDON D.O
Provider Business Mailing Address
First Line : 2918 6TH AVE
Second Line :
City : ALTOONA
State : PA
Zip : 16602-1917
Country : US
Telephone Number : 814-889-7404
Fax Number :
Provider Business Practice Location Address
First Line : 2918 6TH AVE
Second Line :
City : ALTOONA
State : PA
Zip : 16602-1917
Country : US
Telephone Number : 814-944-6055
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2015
Last Update Date : 01/06/2026

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Directions to “ DR. ELIZABETH GORDON D.O” Practice Location

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