Vicki R Gordon in Crescent City - Internal Medicine
Vicki R Gordon - NPI 1881613396
Vicki R Gordon is a Internal Medicine in Crescent City, California. Vicki R Gordon practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Vicki R Gordon is 1881613396. The last update date is 2020-04-20.
Vicki R Gordon's current location address is 550 E Washington Blvd, Crescent City, California. You can contact this provider via phone number 7074965465. The mailing address for Vicki R Gordon is 550 E Washington Blvd, Crescent City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vicki R Gordon |
|---|---|
| Address | 550 E Washington Blvd, Crescent City, California |
| Phone Number | 7074965465 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD PHD |
NPI Number Detail
| NPI Number | 1881613396 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2020-04-20 |
Provider Mailing Address Detail
| Address | 550 E Washington Blvd |
|---|---|
| City | Crescent City |
| State | California (CA) |
| Post Code | 955318160 |
| Phone Number | 7074965465 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 4301083013 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 149719 | UPIN NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Vicki R Gordon by the Centers for Medicare & Medicaid Services?
The Vicki R Gordon has been issued the NPI (National Provider Identifier) 1881613396, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Vicki R Gordon is physically located?
The Vicki R Gordon is situated at the following address: 550 E Washington Blvd, Crescent City, CA 955318160.
What is Vicki R Gordon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Vicki R Gordon is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.
On what date did the Vicki R Gordon receive the assignment of its 1881613396 from the Centers for Medicare & Medicaid Services?
The Vicki R Gordon was issued its 1881613396 by the Centers for Medicare & Medicaid Services on 2006-07-18.
When was the information regarding Vicki R Gordon most recently updated?
The details pertaining to the Vicki R Gordon, including its address, specialty, and other relevant information, were last refreshed on 2020-04-20.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY