# H.W. GORDON, M.D., MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1780678433
- **Authorized official:** HERSCHEL W GORDON M.D. (PRESIDENT)
- **Authorized official phone:** (707) 462-3111

## Contact information

- **Practice address:** 275 HOSPITAL DR, DEPT OF PATHOLOGY, UKIAH, CA 95482-4531
- **Practice address phone:** (707) 462-3111
- **Practice address fax:** (707) 463-7509
- **Mailing address:** 275 HOSPITAL DR, DEPT OF PATHOLOGY, UKIAH, CA 95482-4531
- **Mailing address phone:** (707) 462-3111
- **Mailing address fax:** (707) 463-7509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2005
- **Last updated:** 01/30/2014