Individual
DR. RICHARD DOYLE GORDON JR.
Active
Individual
DR. RICHARD DOYLE GORDON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
372333-3102
UT
163W00000X
Registered Nurse
RN60339321
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61451230
WA
Other
Enumeration date
08/30/2020
Last updated
06/15/2023
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