Individual
JOSEPH GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN
Contact information
Practice address
2255 S 88TH ST, LOUISVILLE, CO 80027-9716
(303) 673-9990
Mailing address
6422 DRY FORK CIR, FREDERICK, CO 80516-9540
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1664388
CO
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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