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Individual

GORDON GOLDSMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2943 NORTHGATE DRIVE, IOWA CITY, IA 52245
(319) 338-1197
(319) 337-2199
Mailing address
2943 NORTHGATE DRIVE, IOWA CITY, IA 52245
(319) 338-1197
(319) 337-2199

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
18441
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0163394
IA
01
16D0386507
CLIA
Enumeration date
07/08/2005
Last updated
05/23/2008
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