Individual
EDNA E EKUBAN-GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
320 HOSPITAL DR, EMERGENCY DEPT., MARTINSVILLE, VA 24112-1900
(276) 666-7237
(276) 666-7600
Mailing address
320 HOSPITAL DR, MARTINSVILLE, VA 24112-1900
(276) 666-7240
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101221386
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005826900
—
VA
Enumeration date
07/10/2006
Last updated
08/28/2008
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