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Organization
GORDON GOLDMAN MD LLC
Active
Organization
GORDON GOLDMAN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON M GOLDMAN MD (PHYSICIAN/OWNER)
(573) 438-3660
Entity
Organization
Contact information
Practice address
612 E HIGH ST, SUITE 220, POTOSI, MO 63664-1406
(573) 438-3660
(314) 576-1733
Mailing address
612 E HIGH ST, SUITE 220, POTOSI, MO 63664-1406
(573) 438-3660
(314) 576-1733
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
30541
MO
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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