Individual
DR. DAVID MICHAEL GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 PARNASSUS AVE # M696, BOX 0110, SAN FRANCISCO, CA 94143-2204
(415) 353-1000
Mailing address
1200 MASONIC AVE, APT 2, SAN FRANCISCO, CA 94117-2917
(415) 265-4843
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A108335
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A108335
STATE LICENSE
CA
Enumeration date
08/03/2009
Last updated
08/03/2009
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