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Individual

DR. GILAD SHALAG GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1565 ROCKMONT CIR, BOULDER, CO 80305-6822
(303) 517-6212
(303) 494-4103
Mailing address
1565 ROCKMONT CIR, BOULDER, CO 80305-6822
(303) 517-6212
(303) 494-4103

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26496
CO

Other

Enumeration date
11/26/2012
Last updated
11/26/2012
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