# GORDON GOLDMAN MD LLC

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

## Provider details

- **NPI number:** 1770915258
- **Authorized official:** GORDON M GOLDMAN MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (573) 438-3660

## Contact information

- **Practice address:** 612 E HIGH ST, SUITE 220, POTOSI, MO 63664-1406
- **Practice address phone:** (573) 438-3660
- **Practice address fax:** (314) 576-1733
- **Mailing address:** 612 E HIGH ST, SUITE 220, POTOSI, MO 63664-1406
- **Mailing address phone:** (573) 438-3660
- **Mailing address fax:** (314) 576-1733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 30541 | MO | Yes |

## Other

- **Enumeration date:** 08/06/2013
- **Last updated:** 08/06/2013