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Individual

JAMES D. GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1775 W SAINT MARYS RD, SUITE 211, TUCSON, AZ 85745-2696
(520) 792-2170
(520) 792-9702
Mailing address
1775 W SAINT MARYS RD, SUITE 211, TUCSON, AZ 85745-2696
(520) 792-2170
(520) 792-9702

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
28386
AZ
207YX0602X
Otolaryngic Allergy Physician
28386
AZ
2085R0202X
Diagnostic Radiology Physician
28386
AZ
2085U0001X
Diagnostic Ultrasound Physician
28386
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
526634
AZ
Enumeration date
05/30/2006
Last updated
07/30/2008
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