Individual
GORDON H. MINTON
Active
Individual
GORDON H. MINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
93-336
NM
207L00000X
Anesthesiology Physician
E-6274
AR
207L00000X
Anesthesiology Physician
Primary
H8262
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00006486
—
NM
05
—
1043282981
—
UT
05
—
165665401
—
TX
05
—
184474
—
AZ
05
—
91933366
—
CO
01
—
NMAAA1223
MEDICARE PTAN
NM
Enumeration date
02/05/2006
Last updated
11/08/2023
Update your record
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