Individual
DR. SLOAN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
14 TEMPRANILLO, RANCHO MIRAGE, CA 92270-5682
(713) 725-7555
(713) 583-1791
Mailing address
14 TEMPRANILLO, RANCHO MIRAGE, CA 92270-5682
(713) 725-7555
(713) 583-1791
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E5616
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
803
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089494103
—
TX
01
—
1992787204
GROUP NPI
TX
Enumeration date
06/20/2005
Last updated
04/25/2023
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