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Individual

DREXEL REED GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
8 DEPOT ST, STE 2, BRIDGTON, ME 04009-1368
(207) 647-5499
(207) 647-5931
Mailing address
8 DEPOT ST, STE 2, BRIDGTON, ME 04009-1368
(207) 647-5499
(207) 647-5931

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1454
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
234110099
ME
Enumeration date
10/04/2006
Last updated
03/15/2017
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