Individual
DR. ROBERT K GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 W CAMELBACK RD, SUITE 209, PHOENIX, AZ 85013-2330
(928) 514-9433
Mailing address
400 W CAMELBACK RD, SUITE 209, PHOENIX, AZ 85013-2330
(928) 514-9433
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101018505
MI
208000000X
Pediatrics Physician
SL0746
NV
208D00000X
General Practice Physician
Primary
006491
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006491
ARIZONA BOARD OF OSTEOPATHIC EXAMINERS
AZ
Enumeration date
08/17/2009
Last updated
02/09/2016
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