Individual
DR. TODD RUSSELL GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1892 WILLIAMS ST, VA MEDICAL CENTER, FORT HARRISON, MT 59636
(406) 447-7476
Mailing address
123 PINE ST, HELENA, MT 59601-6360
(406) 457-0091
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 21158
OR
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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