Organization
ROBERT M. GORDON, M.D., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY L. MACHAMER (BILLING MANAGER)
(405) 843-5855
Entity
Organization
Contact information
Practice address
4200 W MEMORIAL RD, SUITE 805, OKLAHOMA CITY, OK 73120-9350
(405) 749-4248
(405) 749-4238
Mailing address
4200 W MEMORIAL RD, SUITE 805, OKLAHOMA CITY, OK 73120-9350
(405) 749-4248
(405) 749-4238
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
16378
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100129830A
—
OK
01
—
447547003003
BCBS
OK
01
—
5791345
AETNA
OK
Enumeration date
01/23/2007
Last updated
10/27/2010
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