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Individual

TRAVIS DANIEL GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4353 CLAYTON AVE, SAINT LOUIS, MO 63110-1621
(314) 362-0700
Mailing address
4591 MCREE AVE # 417, SAINT LOUIS, MO 63110-2237
(604) 968-6748

Taxonomy

Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
2025027678
MO

Other

Enumeration date
09/24/2025
Last updated
09/24/2025
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