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Individual

DAVID MICHAEL GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1060 ORCHARD AVE, SUITE N, GRAND JUNCTION, CO 81501-2997
(970) 256-6345
(970) 242-3690
Mailing address
PO BOX 1687, GRAND JUNCTION, CO 81502-1687
(970) 263-2604
(970) 263-2692

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49659
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
83520261
CO
Enumeration date
01/22/2007
Last updated
01/04/2016
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