Individual
MR. HOWARD ARNOLD GORDER
Active
Individual
MR. HOWARD ARNOLD GORDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10389
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10389
STATE LICENSE #
MN
01
—
1074984
PANCE / NCCPA ID
—
Enumeration date
01/15/2008
Last updated
08/06/2024
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