Individual
SAMANTHA KELLY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
NAVAL HOSPITAL GUANTANAMO BAY, PSC 1005 BOX 110185, FPO, AL 34009
(757) 458-2998
Mailing address
NAVAL HOSPITAL GUANTANAMO BAY, PSC 1005 BOX 110185, FPO, AL 34009
(757) 458-2998
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208000000X
Pediatrics Physician
Primary
0102208040
VA
208D00000X
General Practice Physician
0102208040
VA
Other
Enumeration date
02/21/2022
Last updated
07/15/2025
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