Individual
DR. GORDON J. GORNBEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4484 N PLACITA COAHUILA, SUITE 700, TUCSON, AZ 85749-6107
(503) 310-8622
Mailing address
4484 N PLACITA COAHUILA, TUCSON, AZ 85749-6107
(503) 310-8622
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD13026
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022343
—
OR
01
—
050003045
RR MEDICARE
OR
05
—
1048024
—
WA
Enumeration date
02/28/2006
Last updated
11/16/2014
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