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
Phone: (928) 514-9433
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144452798 | NPPES |
| Arizona | Other | 006491 | ARIZONA BOARD OF OSTEOPATHIC EXAMINERS |
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