Individual
DORIS W GORDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
7471 N FRESNO ST, FRESNO, CA 93720-2457
(559) 436-4500
(559) 261-1526
Mailing address
1360 BAILEY ST, HANFORD, CA 93230-5921
(559) 584-6499
(559) 584-8124
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA18354
—
CA
Enumeration date
07/24/2006
Last updated
09/13/2018
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