Individual
DR. ANDREW GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1919 S WHEELING AVE, STE 404, TULSA, OK 74104
(918) 748-7640
(918) 403-6317
Mailing address
1919 S WHEELING AVE, STE 404, TULSA, OK 74104-5633
(918) 748-7640
(918) 403-6317
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18079
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100113490A
—
OK
Enumeration date
03/14/2006
Last updated
07/18/2018
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