Individual
DR. GORDON THOMAS MARKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(757) 953-7550
(757) 953-7560
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(757) 953-7550
(757) 953-7560
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101248004
VA
207P00000X
Emergency Medicine Physician
M-2072
GU
207P00000X
Emergency Medicine Physician
MTL-2017-074
GU
Other
Enumeration date
06/16/2009
Last updated
02/07/2025
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