Individual
BRIAN LOUIS GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
600 N HIGHLAND SPRINGS AVENUE, BANNING, CA 92220
(510) 350-2777
Mailing address
2100 POWELL STREET, STE 920, EMERYVILLE, CA 94608-1803
(510) 350-2600
(510) 879-9100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
F03058
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G562070
—
CA
Enumeration date
06/07/2006
Last updated
07/17/2008
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