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Individual

DR. GEORGE RICHARD GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
860 COPPER RD, COPPER MOUNTAIN CLINIC, COPPER MOUNTAIN, CO 80443
(970) 968-2330
(970) 968-6681
Mailing address
860 COPPER RD, COPPER MOUNTAIN CLINIC, COPPER MOUNTAIN, CO 80443
(970) 968-2330
(970) 968-6681

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
22608
MN
207P00000X
Emergency Medicine Physician
Primary
48127
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
080011997
MN
Enumeration date
01/09/2006
Last updated
11/21/2012
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