Individual
DALE J GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
140 ACADEMY ST, PRESQUE ISLE, ME 04769-3102
(207) 768-4000
(207) 768-4046
Mailing address
PO BOX 151, PRESQUE ISLE, ME 04769-3102
(207) 768-4100
(207) 768-4046
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP081254
ME
Other
Enumeration date
07/19/2006
Last updated
01/08/2014
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