Individual
JAMES OTIS GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 S MOBILE ST, #23, FAIRHOPE, AL 36532-1365
(251) 928-0611
Mailing address
PO BOX 538, FAIRHOPE, AL 36533-0538
(251) 928-0611
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
05557
MS
Other
Enumeration date
01/22/2011
Last updated
01/22/2011
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