Individual
JESSICA SUSAN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6900 PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
1799 VALENZANO WAY, HENDERSON, NV 89012-7207
(702) 496-2200
(702) 837-0627
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO1438
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295905867
—
NV
Enumeration date
03/10/2008
Last updated
06/14/2016
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