Individual
DR. RONALD D GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3811 EAST BELL ROAD, SUITE 208, PHOENIX, AZ 85032
(602) 482-7676
(602) 482-6152
Mailing address
3811 EAST BELL ROAD, SUITE 208, PHOENIX, AZ 85032
(602) 482-7676
(602) 482-6152
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
8503
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70412
PTAN
AZ
Enumeration date
04/03/2006
Last updated
01/17/2012
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