Organization
ROBERT M. GORDON, M.D., P.L.L.C.
Active
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
Update your record
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