Individual
ANDREA MARIE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1719 E 19TH AVE, DENVER, CO 80218-1235
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
015077
NY
363AS0400X
Surgical Physician Assistant
Primary
PA.0005356
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000169398
—
CO
Enumeration date
09/15/2011
Last updated
12/08/2025
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