Individual
DAVID LEE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
711 STANTON L YOUNG BLVD, SUITE 210, OKLAHOMA CITY, OK 73104-5021
(405) 271-3635
(405) 271-2523
Mailing address
711 STANTON L YOUNG BLVD, SUITE 215, OKLAHOMA CITY, OK 73104
(405) 271-4113
(405) 271-5723
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25434
OK
2084N0400X
Neurology Physician
ME80255
FL
2084V0102X
Vascular Neurology Physician
25434
OK
2084V0102X
Vascular Neurology Physician
ME80255
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259420000
—
FL
Enumeration date
04/26/2006
Last updated
01/24/2011
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