Individual
RACHEL E GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1439 S MINTER WAY, GRAIN VALLEY, MO 64029-9648
(816) 404-6797
Mailing address
1439 S MINTER WAY, GRAIN VALLEY, MO 64029-9648
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2010020753
MO
207Q00000X
Family Medicine Physician
8321A
WY
Other
Enumeration date
12/22/2009
Last updated
03/08/2022
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