Individual
DR. STEWART THOMAS GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8585 ARCHIVES AVE STE 310, BATON ROUGE, LA 70809-2423
(225) 201-8475
(844) 809-3193
Mailing address
8585 ARCHIVES AVE STE 310, BATON ROUGE, LA 70809-2423
(225) 201-8475
(844) 809-3193
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
020853
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1969214
—
LA
Enumeration date
07/25/2006
Last updated
02/22/2022
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