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Individual

DR. JASON GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
USS GEORGE WASHINGTON (CVN 73), 1562 MITSCHER AVE SUITE 250, NORFOLK, VA 23551-2487
(757) 836-5929
Mailing address
USS GEORGE WASHINGTON (CVN 73), UNIT 100148 BOX 1, FPO, AE 09550

Taxonomy

Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
154668
NC
207Q00000X
Family Medicine Physician
Primary
2009-01416
NC
2083A0100X
Aerospace Medicine Physician
154668
NC
208D00000X
General Practice Physician
154668
NC

Other

Enumeration date
06/16/2008
Last updated
03/08/2024
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