Individual
DR. JAMES LELAND GORDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
135 ELM AVE, LARKSPUR, CA 94939-2038
(415) 924-6486
Mailing address
135 ELM AVE, LARKSPUR, CA 94939-2038
(415) 924-6486
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C28102
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C28102
STATE LICENSE
CA
Enumeration date
12/05/2012
Last updated
12/05/2012
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