Organization
CENTER FOR DIGESTIVE & LIVER DISEASES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN L GORDON M.D. (PRESIDENT/OWNER)
(573) 581-7196
Entity
Organization
Contact information
Practice address
714 MEDICAL PARK DR, MEXICO, MO 65265-3726
(573) 581-7196
(573) 581-3632
Mailing address
714 MEDICAL PARK DR, MEXICO, MO 65265-3726
(573) 581-7196
(573) 581-3632
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
MO
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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