Individual
DR. JONATHAN L GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 338-4545
Mailing address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24427
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009907
KAISER COMMERCIAL NUMBER
CO
05
—
01244276
—
CO
Enumeration date
02/28/2007
Last updated
11/10/2011
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