Individual
DR. JAMES M GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4846
(623) 876-3900
(623) 876-6965
Mailing address
14416 W MEEKER BLVD, SUITE 201, SUN CITY WEST, AZ 85375-5284
(623) 583-5273
(623) 583-5117
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
36171
AZ
207RG0100X
Gastroenterology Physician
Primary
36171
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211510
—
AZ
Enumeration date
01/04/2006
Last updated
11/20/2009
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