Individual
ALLISON GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
MSC 11 6025, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(404) 202-8818
Mailing address
MSC11 6025, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(404) 202-8818
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
NM2022-0661
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/30/2019
Last updated
05/24/2024
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