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Individual
DR. VICKI R GORDON
Active
Individual
DR. VICKI R GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD PHD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
127825
CA
207R00000X
Internal Medicine Physician
4301083013
MI
207R00000X
Internal Medicine Physician
Primary
C127825
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149719
UPIN NUMBER
—
Enumeration date
07/18/2006
Last updated
04/20/2020
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