Individual
DR. ROBERT M GORDON
Active
Individual
DR. ROBERT M GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
16378
OK
207RS0012X
Sleep Medicine (Internal Medicine) Physician
036166087
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
J1041
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100129830A
—
OK
01
—
5791345
AETNA
OK
Enumeration date
09/20/2005
Last updated
05/20/2025
Update your record
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