Harry William Gordon in Peoria - Adult Medicine
Harry William Gordon - NPI 1205095452
Harry William Gordon is a Adult Medicine in Peoria, Arizona. Harry William Gordon practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Harry William Gordon is 1205095452. The last update date is 2008-06-03.
Harry William Gordon's current location address is 12566 W Bajada Rd, Peoria, Arizona. You can contact this provider via phone number 4809484650 and fax number 6233883729. The mailing address for Harry William Gordon is 12566 W Bajada Rd, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Harry William Gordon |
|---|---|
| Address | 12566 W Bajada Rd, Peoria, Arizona |
| Phone Number | 4809484650 |
| Fax Number | 6233883729 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1205095452 |
|---|---|
| Provider Enumeration Date | 2008-06-03 |
| Last Updated Date | 2008-06-03 |
Provider Mailing Address Detail
| Address | 12566 W Bajada Rd |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853832805 |
| Phone Number | 4809484650 |
| Fax Number | 6233883729 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 7672 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| BGFJN | MEDICARE |
Post Comment/ Review Below
What is the Harry William Gordon's 1205095452?
The Harry William Gordon's NPI (National Provider Identifier) Number is 1205095452. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Harry William Gordon is located?
The Harry William Gordon is situated at the following address: 12566 W Bajada Rd, Peoria, AZ, 853832805.
What is the area of specialization for Harry William Gordon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Harry William Gordon is Adult Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Qa0505X.
On what date was the 1205095452 assigned to Harry William Gordon?
The Harry William Gordon was issued its 1205095452 on 2008-06-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Harry William Gordon most recently updated?
The details pertaining to the Harry William Gordon, including its address, specialty, and other relevant information, were last refreshed on 2008-06-03.
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