Individual
BRET S GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12330 METCALF AVE, STE 420, OVERLAND PARK, KS 66213-1324
(913) 323-9000
(913) 323-9001
Mailing address
901 E 104TH ST, MAILSTOP 400N, KANSAS CITY, MO 64131-4517
(816) 502-7104
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0530651
KS
207V00000X
Obstetrics & Gynecology Physician
2001015997
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209093103
—
MO
Enumeration date
06/13/2005
Last updated
02/27/2018
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