Individual
GORDON VICTOR GIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 ARGONNE RD, PORTSMOUTH, OH 45662-2827
(740) 991-0911
(740) 991-6050
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35098054
OH
207Q00000X
Family Medicine Physician
11014580
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
35.098054
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065768
—
OH
05
—
7100209900
—
KY
Enumeration date
07/01/2008
Last updated
03/17/2018
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