Individual
JOHN B GORDON
Active
Individual
JOHN B GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
C42631
CA
207RI0011X
Interventional Cardiology Physician
Primary
C42631
CA
2085R0204X
Vascular & Interventional Radiology Physician
C42631
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C426310
—
CA
Enumeration date
11/07/2005
Last updated
06/03/2021
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