Otis T Gordon in Little Rock - Gastroenterology
Otis T Gordon - NPI 1851355218
Otis T Gordon is a Gastroenterology in Little Rock, Arkansas. Otis T Gordon practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Otis T Gordon is 1851355218. The last update date is 2012-12-17.
Otis T Gordon's current location address is 417 N University Ave, Little Rock, Arkansas. You can contact this provider via phone number 5016660249 and fax number 5016664340. The mailing address for Otis T Gordon is 417 N University Ave, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Otis T Gordon |
|---|---|
| Address | 417 N University Ave, Little Rock, Arkansas |
| Phone Number | 5016660249 |
| Fax Number | 5016664340 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1851355218 |
|---|---|
| Provider Enumeration Date | 2006-04-13 |
| Last Updated Date | 2012-12-17 |
Provider Mailing Address Detail
| Address | 417 N University Ave |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722053108 |
| Phone Number | 5016660249 |
| Fax Number | 5016664340 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | E4082 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00348668 | AR | RAIL ROAD MEDICARE | |
| 3120019200 | AR | QUALCHOICE | |
| 156781001 | AR | -- | |
| 5N145 | AR | BLUE CROSS BLUE SHIELD | |
| 7867673 | AR | AETNA |
Post Comment/ Review Below
What is the Otis T Gordon's unique identification number?
The Otis T Gordon has been assigned the NPI (National Provider Identifier) Number 1851355218 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Otis T Gordon is physically located?
The Otis T Gordon is situated at the following address: 417 N University Ave, Little Rock, AR 722053108.
What is Otis T Gordon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Otis T Gordon's specialized field of practice is Gastroenterology, and the corresponding taxonomy code that categorizes this area of specialization is 207Rg0100X.
When was the Otis T Gordon's 1851355218 issued?
The Otis T Gordon's 1851355218 was issued on 2006-04-13.
When was the information regarding Otis T Gordon most recently updated?
The details pertaining to the Otis T Gordon, including its address, specialty, and other relevant information, were last refreshed on 2012-12-17.
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