Individual
BRENT KOBE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817
(916) 734-8570
(916) 734-7950
Mailing address
2106 57TH ST, SACRAMENTO, CA 95817-1714
(916) 734-8570
(916) 734-7950
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A141358
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2014
Last updated
05/31/2018
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