Individual
MRS. BARBARA L GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
31830
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2075749
—
OH
01
—
35074717C
STATE LICENSE
ID
Enumeration date
01/16/2006
Last updated
01/20/2012
Update your record
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