Individual
DR. RICHARD ALLEN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7600 S LEWIS AVE, TULSA, OK 74136-6836
(918) 493-2229
(918) 493-7819
Mailing address
7600 S LEWIS AVE, TULSA, OK 74136-6836
(918) 493-2229
(918) 493-7819
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11805
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100088660B
—
OK
Enumeration date
05/19/2006
Last updated
05/01/2014
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