Individual
GORDON ELWOOD ALLDRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 DELBON AVE, TURLOCK, CA 95382-2016
(209) 342-2300
(209) 524-4240
Mailing address
2100 POWELL ST, STE 900, EMERYVILLE, CA 94608-1844
(510) 350-2663
(510) 879-9061
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G42506
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G425060
BLUE SHIELD
CA
05
—
00G425060
—
CA
Enumeration date
11/04/2005
Last updated
07/15/2016
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