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NPI Code Detail

MEDICARE: DAVID GORDON, MD, PC

MEDICARE: DAVID GORDON, MD, PC
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
1207R00000XInternal Medicine Physician40354CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912231416
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID GORDON, MD, PC
Provider Business Mailing Address
First Line : 360 S MONROE ST
Second Line : SUITE 150
City : DENVER
State : CO
Zip : 80209-3705
Country : US
Telephone Number : 303-261-8112
Fax Number : 303-792-3015
Provider Business Practice Location Address
First Line : 360 S MONROE ST
Second Line : SUITE 150
City : DENVER
State : CO
Zip : 80209-3705
Country : US
Telephone Number : 303-261-8112
Fax Number : 303-792-3015
Authorized Official
Title or Position : PHYSICIAN OWNER
Name : DR. DAVID A GORDON
Credential : M.D.
Telephone Number : 303-261-8112
Provider Enumeration Date : 09/30/2009
Last Update Date : 01/29/2010

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Directions to “DAVID GORDON, MD, PC ” Practice Location

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