Gordon, Robert K

Gordon, Robert K is an individual health care provider with primary practice located at 400 W Camelback Rd Suite 209, Phoenix AZ 85013-2330. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Gordon, Robert K can be contacted via phone (928) 514-9433.

Contact Information

Primary practice address
400 W Camelback Rd Suite 209 Phoenix AZ 85013-2330
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X SL0746 Nevada
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101018505 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X 006491 Arizona

Profile Details

NPI number 1144452798
LBN Legal business name Gordon, Robert K
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2009
Last updated Feb 9th, 2016 - about 10 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 1144452798 NPPES
Arizona Other 006491 ARIZONA BOARD OF OSTEOPATHIC EXAMINERS

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