Individual
DR. KARA L GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM, MBA
Contact information
Practice address
10524 E HIGHWAY 92, HEREFORD, AZ 85615-8371
(520) 459-3339
(520) 459-3342
Mailing address
10524 E HIGHWAY 92, HEREFORD, AZ 85615-8371
(520) 459-3339
(520) 459-3342
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0553
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5591608001
CIGNA
—
05
—
642662
—
AZ
01
—
7253307
AETNA
—
01
—
AZ0194810
BCBS OF AZ
AZ
Enumeration date
04/17/2006
Last updated
11/29/2022
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