Individual
RYAN JAMES GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
9955 POMERADO RD BLDG 20300, SAN DIEGO, CA 92131-2041
(858) 537-8334
Mailing address
9955 POMERADO RD BLDG 20300, SAN DIEGO, CA 92131-2041
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/06/2013
Last updated
03/17/2018
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