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Individual

PAUL R GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
707 N ALVERNON WAY, SUITE 101, TUCSON, AZ 85711-1827
(520) 694-1611
(520) 694-1677
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85706-7124
(520) 874-4024
(520) 874-3425

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
16005
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080054491
RR MEDICARE
AZ
05
253469
AZ
Enumeration date
08/23/2006
Last updated
02/02/2012
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