Individual
DONAL KEVIN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 3RD AVE SE, CEDAR RAPIDS, IA 52403-4009
(319) 730-7300
Mailing address
PO BOX 2205, CEDAR RAPIDS, IA 52406-2205
(319) 730-7300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36376
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0460865
—
IA
01
—
P00731432
RR MEDICARE MEMBER
—
Enumeration date
04/14/2006
Last updated
12/12/2011
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