Gordon, Richard Joseph

Gordon, Richard Joseph is an individual health care provider with primary practice located at 500 W Thomas Rd Ste 480 , Phoenix AZ 85013-4239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gordon, Richard Joseph can be contacted via phone (602) 406-1150.

Contact Information

Primary practice address
500 W Thomas Rd Ste 480 Phoenix AZ 85013-4239
Phone: (602) 406-1150
Fax: (602) 406-1159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 18785 Mississippi
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 39181 Tennessee

Profile Details

NPI number 1558367490
LBN Legal business name Gordon, Richard Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Jun 1st, 2022 - about 4 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 1558367490 NPPES
Tennessee MEDICAID 3730779

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