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Individual
STEVEN ADAM GORDON
Active
Individual
STEVEN ADAM GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000879
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103000879
UNITED HEALTHCARE
—
01
—
027806
ANTHEM BCBS
—
01
—
0442570002
DMERC
—
01
—
175235R15
MEDICARE TRAILBLAZERS
VA
01
—
324100
UNITED HEALTHCARE MAMSI
—
01
—
480000469
MEDICARE TRAILBLAZERS
VA
01
—
480000470
MEDICARE TRAILBLAZERS
VA
01
—
480018959
RAILROAD MEDICARE
—
05
—
9301488
—
VA
01
—
A8890005
CAREFIRST BCBS
—
01
—
CC5940
RAILROAD MEDICARE GROUP
VA
Enumeration date
03/14/2006
Last updated
11/02/2009
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