Individual
DR. SCOTT MICHAEL GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD458942
PA
208000000X
Pediatrics Physician
MT203920
PA
Other
Enumeration date
06/06/2013
Last updated
05/06/2019
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