Individual
DAVID MICHAEL GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
350 PARNASSUS AVE, SUITE 404, SAN FRANCISCO, CA 94117-3608
(415) 353-4597
(415) 353-9333
Mailing address
350 PARNASSUS AVE, SUITE 404, SAN FRANCISCO, CA 94117-3608
(415) 353-4597
(415) 353-9333
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
COA.10630-NP
OH
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
20565
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2960498
—
OH
01
—
P00729445
RAILROAD MEDICARE
OH
Enumeration date
05/16/2009
Last updated
11/17/2011
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