Individual
RICHARD JOSEPH GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W THOMAS RD STE 480, PHOENIX, AZ 85013-4239
(602) 406-1150
(602) 406-1159
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
18785
MS
207RC0000X
Cardiovascular Disease Physician
Primary
39181
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3730779
—
TN
Enumeration date
06/24/2005
Last updated
06/01/2022
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