Individual
GORDON OMAR MATHESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
341 GALVEZ ST, ARRILLAGA MC 6150, STANFORD, CA 94305-6106
(650) 723-2257
(650) 725-2607
Mailing address
341 GALVEZ ST, ARRILLAGA MC 6150, STANFORD, CA 94305-6106
(650) 723-2257
(650) 725-2607
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
C43343
CA
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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