DR. ROBERT K GORDON DO NPI 1144452798

NPI Information

NPI: 1144452798
Provider Name: DR. ROBERT K GORDON, DO
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
400 W CAMELBACK RD
SUITE 209
PHOENIX, AZ
ZIP 85013
Phone: (928) 514-9433
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DR. Robert K Gordon, DO is a general practice in Phoenix, AZ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Robert K Gordon, DO NPI is 1144452798. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 W CAMELBACK RD
SUITE 209
PHOENIX, AZ
ZIP 85013-330
Phone: (928) 514-9433

The enumeration date for this NPI number is 8/17/2009 and was last updated on 2/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	208000000X	Pediatrics	SL0746	NEVADA	No
2	207Q00000X	Family Medicine	5101018505	MICHIGAN	No
3	208D00000X	General Practice	006491	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	006491	OTHER	ARIZONA	ARIZONA BOARD OF OSTEOPATHIC EXAMINERS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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