Individual
DR. SLOAN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
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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