Organization
ROCKY MOUNTAIN REHAB MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MICHAEL GORDON M.D. (OWNER)
(720) 378-6597
Entity
Organization
Contact information
Practice address
275 S MAIN ST, LONGMONT, CO 80501-6462
(720) 378-6597
Mailing address
19153 EAST BRIARWOOD DRIVE, CENTENNIAL, CO 80016
(843) 324-2406
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DR0054748
CO
Other
Enumeration date
08/17/2016
Last updated
12/30/2019
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