Individual
DR. FLASH GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 S ELISEO DR, STE 204, GREENBRAE, CA 94904-2133
(415) 461-2262
(415) 461-9376
Mailing address
1000 S ELISEO DR, STE 204, GREENBRAE, CA 94904-2133
(415) 461-2262
(415) 461-9376
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G37304
CA
Other
Enumeration date
04/05/2006
Last updated
06/18/2013
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