Individual
RICHARD STEVEN GORDON
Active
Individual
RICHARD STEVEN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
96910
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000026343
ANTHEM
OH
01
—
027978400
FED BLK LNG
OH
05
—
0752592
—
OH
01
—
127593300
US DEPARTMENT OF LABOR
—
01
—
300016814
RAILROAD MEDICARE
—
01
—
341212779007
MEDICAL MUTUAL
OH
01
—
341212779020
MEDICAL MUTUAL OF OH
OH
Enumeration date
05/17/2006
Last updated
01/05/2016
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