Individual
DAVID W GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4001 E SUNRISE DR STE 121, TUCSON, AZ 85718-4324
(520) 209-7000
(520) 209-7010
Mailing address
4001 E SUNRISE DR STE 121, TUCSON, AZ 85718-4324
(520) 209-7000
(520) 209-7010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1949
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
393843
STATE AHCCCS NUMBER
AZ
Enumeration date
07/05/2006
Last updated
10/01/2020
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