Gordon, James M

Gordon, James M is an individual health care provider with primary practice located at 13640 N Plaza Del Rio Blvd , Peoria AZ 85381-4846. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Gordon, James M can be contacted via phone (623) 876-3900.

Contact Information

Primary practice address
13640 N Plaza Del Rio Blvd Peoria AZ 85381-4846
Phone: (623) 876-3900
Fax: (623) 876-6965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 36171 Arizona
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 36171 Arizona

Profile Details

NPI number 1780662320
LBN Legal business name Gordon, James M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Nov 20th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780662320 NPPES
Arizona MEDICAID 211510

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