Individual
MICHAEL GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
DR.0029767
CO
2086S0122X
Plastic and Reconstructive Surgery Physician
29767
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01297670
—
CO
Enumeration date
11/02/2006
Last updated
11/30/2018
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