Christal A Gordon in Janesville - Pediatrics
Christal A Gordon - NPI 1558414243
Christal A Gordon is a Pediatrics in Janesville, Wisconsin. Christal A Gordon practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Christal A Gordon is 1558414243. The last update date is 2007-07-08.
Christal A Gordon's current location address is 3524 E Milwaukee St, Janesville, Wisconsin. You can contact this provider via phone number 6087567100. The mailing address for Christal A Gordon is 3524 E Milwaukee St, Janesville, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christal A Gordon |
|---|---|
| Address | 3524 E Milwaukee St, Janesville, Wisconsin |
| Phone Number | 6087567100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1558414243 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3524 E Milwaukee St |
|---|---|
| City | Janesville |
| State | Wisconsin (WI) |
| Post Code | 535461626 |
| Phone Number | 6087567100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 23772 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30403800 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Christal A Gordon by the Centers for Medicare & Medicaid Services?
The Christal A Gordon has been issued the NPI (National Provider Identifier) 1558414243. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Christal A Gordon?
The Christal A Gordon is situated at 3524 E Milwaukee St, in the city of Janesville, state of WI, with the zip code 535461626.
What is Christal A Gordon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Christal A Gordon's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
When did the Christal A Gordon receive its 1558414243?
The Christal A Gordon was issued its 1558414243 on 2007-01-18, which is the date when the organization was assigned this unique identifier.
As of what date were the Christal A Gordon's details last updated?
The information pertaining to the Christal A Gordon, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1023014131
Address: 3901 Houma Blvd, Metairie, LA