Gordon, Tobey R

Gordon, Tobey R is an individual health care provider with primary practice located at 1850 N Central Ave Ste 1600, Phoenix AZ 85004-4633. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Gordon, Tobey R can be contacted via phone (602) 744-4765.

Contact Information

Primary practice address
1850 N Central Ave Ste 1600 Phoenix AZ 85004-4633
Phone: (602) 744-4765
Fax: (602) 744-4799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 23512 Arizona

Profile Details

NPI number 1629048806
LBN Legal business name Gordon, Tobey R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Oct 27th, 2010 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629048806 NPPES
Other 050076612 MEDICARE RAILROAD
MEDICAID 324559 MEDICARE RAILROAD

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