Individual
KAROL L GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 855-3406
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 855-3406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
010220791
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010208921
—
VA
Enumeration date
01/19/2006
Last updated
04/29/2011
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