Individual
MARY E GORDINIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3991 DUTCHMANS LN STE 405, LOUISVILLE, KY 40207-4723
(502) 899-3366
(502) 899-6686
Mailing address
PO BOX 776347, CHICAGO, IL 60677-6347
(502) 272-5052
(502) 629-5217
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
39607
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200532660
—
IN
05
—
64109648
—
KY
Enumeration date
07/25/2006
Last updated
08/25/2022
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