Gordon, Bruce A

Gordon, Bruce A is an sole proprietor health care provider with primary practice located at 8 Upland Ave , Mill Valley CA 94941-1130. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Gordon, Bruce A can be contacted via phone (415) 383-2270.

Contact Information

Primary practice address
8 Upland Ave Mill Valley CA 94941-1130
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A24767 California

Profile Details

NPI number 1639457773
LBN Legal business name Gordon, Bruce A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2011
Last updated Jul 22nd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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