Individual
MR. GORDON ELIOT LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1505 SOQUEL DRIVE, SUITE 8, SANTA CRUZ, CA 95065-1716
(831) 476-4230
(831) 476-0571
Mailing address
1505 SOQUEL DRIVE, SUITE 8, SANTA CRUZ, CA 95065-1716
(831) 476-4230
(831) 476-0571
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G29794
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4087118
—
CA
Enumeration date
10/19/2006
Last updated
01/24/2012
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