Individual
MRS. ASIA DENISE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12715 WARWICK BLVD # M&O, NEWPORT NEWS, VA 23606
(757) 930-0091
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0024177068
VA
Other
Enumeration date
12/21/2018
Last updated
04/02/2019
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