Individual
JOHN DAVID GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7625 W 92ND AVE, WESTMINSTER, CO 80021-4567
(303) 254-7468
(303) 650-2287
Mailing address
7625 W 92ND AVE, WESTMINSTER, CO 80021-4567
(303) 254-7468
(303) 650-2287
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23951
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01239516
—
CO
05
—
04020541
—
CO
01
—
080115217
RAILROAD MEDICARE
CO
01
—
1215981634
GROUP NPI #
CO
01
—
1356320196
NPI #
CO
01
—
261603
CIGNA
CO
01
—
4052059
AETNA
CO
01
—
513142
MEDICARE GROUP
CO
01
—
841365302002
RKY MTN HMO
CO
01
—
8413653020A
PACIFICARE PPO
CO
01
—
84136530224
PACIFICARE
CO
01
—
C103008
MEDICARE GROUP NUMBER
CO
01
—
GO189518
ANTHEM BCBS
CO
01
—
RO103008
GROUP ANTHEM BCBS
CO
Enumeration date
01/11/2006
Last updated
08/24/2016
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