Individual
BRENT MCNAIRY GORDON
Active
Individual
BRENT MCNAIRY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
A85016
CA
208000000X
Pediatrics Physician
A85016
CA
2080P0202X
Pediatric Cardiology Physician
Primary
A85016
CA
Other
Enumeration date
08/03/2006
Last updated
07/13/2022
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