Individual
MRS. CATHERINE J GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
19315
MS
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
19315
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08505248
—
MS
05
—
194890
—
AL
05
—
194890
—
MS
01
—
302I373520
MEDICARE PTAN
MS
Enumeration date
09/22/2006
Last updated
03/26/2025
Update your record
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