Organization
TIMOTHY L GORDON MD ORTHOPEDICS PA
Active
Other names
TOMOTHY L GORDON MD ORTHOPEDICS PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY LIVINGSTON GORDON MD (PRESIDENT)
(440) 954-3225
Entity
Organization
Contact information
Practice address
34950 CHARDON RD, SUITE 104, WILLOUGHBY, OH 44094-9162
(440) 954-3225
(440) 954-3226
Mailing address
34950 CHARDON RD, SUITE 104, WILLOUGHBY, OH 44094-9162
(440) 954-3225
(440) 954-3226
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0839221
—
OH
Enumeration date
03/05/2008
Last updated
06/23/2010
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