Organization
FAMILY PRACTICE ASSOCIATES OF SPRINGFIELD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD GORDON MD (PRESIDENT)
(937) 399-6650
Entity
Organization
Contact information
Practice address
2701 MOOREFIELD RD, SPRINGFIELD, OH 45502-8207
(937) 399-6650
(513) 718-3223
Mailing address
2701 MOOREFIELD RD, SPRINGFIELD, OH 45502-8207
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2221750
—
OH
Enumeration date
03/27/2006
Last updated
10/10/2023
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