# KRISTA GORDON MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275748501
- **Authorized official:** RHONDA GELVIN MD (OFFICE MANAGER)
- **Authorized official phone:** (580) 536-7546

## Contact information

- **Practice address:** 5366 NW CACHE RD, SUITE 6, LAWTON, OK 73505-3353
- **Practice address phone:** (580) 536-7546
- **Practice address fax:** (580) 581-2051
- **Mailing address:** 5366 NW CACHE RD, SUITE 6, LAWTON, OK 73505-3335
- **Mailing address phone:** (580) 536-7546
- **Mailing address fax:** (580) 581-2051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 21237 | OK | Yes |

## Other

- **Enumeration date:** 05/11/2007
- **Last updated:** 03/22/2011