Individual
DR. GRANT THOMAS GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9060 E VIA LINDA STE 250, SCOTTSDALE, AZ 85258-5425
(480) 614-2000
Mailing address
160 W TYLER ST UNIT 671, TAMPA, FL 33602-3956
(574) 276-6786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS18395
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
007747
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
OS18395
FL
207RP1001X
Pulmonary Disease Physician
007747
AZ
207RP1001X
Pulmonary Disease Physician
OS18395
FL
Other
Enumeration date
06/26/2017
Last updated
05/14/2025
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