Individual
DR. BLAIR KEVIN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16290 E QUINCY AVE, AURORA, CO 80015-1594
(303) 338-4545
(303) 699-3837
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32951
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011659
KAISER-COMMERCIAL NUMBER
—
05
—
01329515
—
CO
Enumeration date
02/27/2007
Last updated
06/08/2021
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