Organization
H.W. GORDON, M.D., MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERSCHEL W GORDON M.D. (PRESIDENT)
(707) 462-3111
Entity
Organization
Contact information
Practice address
275 HOSPITAL DR, DEPT OF PATHOLOGY, UKIAH, CA 95482-4531
(707) 462-3111
(707) 463-7509
Mailing address
275 HOSPITAL DR, DEPT OF PATHOLOGY, UKIAH, CA 95482-4531
(707) 462-3111
(707) 463-7509
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C207190
—
CA
05
—
00C207191
—
CA
Enumeration date
09/08/2005
Last updated
01/30/2014
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