Individual
MR. VLADISLAV DMITRIYEVICH GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
PO BOX 100108, GAINESVILLE, FL 32610-0108
(352) 273-5670
(352) 273-5683
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
329811
AZ
Other
Enumeration date
02/06/2023
Last updated
09/26/2025
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