Individual
IAN JAMES GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1616
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2633
(319) 356-2940
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
H176599
IA
363LA2100X
Acute Care Nurse Practitioner
H176599
IA
Other
Enumeration date
10/30/2023
Last updated
02/17/2024
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