Jacob L. Gordon is a Sleep Medicine in Tacoma, Washington. Jacob L. Gordon practices all healthcare services and medical treatments related to Sleep Medicine. The NPI Number for Jacob L. Gordon is 1114029550. The last update date is 2019-03-04.
Jacob L. Gordon's current location address is Madigan Army Medical Center, Tacoma, Washington. You can contact this provider via phone number 2539686478 and fax number 2539689054. The mailing address for Jacob L. Gordon is Madigan Army Medical Center, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob L. Gordon |
|---|---|
| Address | Madigan Army Medical Center, Tacoma, Washington |
| Phone Number | 2539686478 |
| Fax Number | 2539689054 |
| Sole Proprietor | N |
| Credentials | M.D., M.S. |
NPI Number Detail
| NPI Number | 1114029550 |
|---|---|
| Provider Enumeration Date | 2006-09-05 |
| Last Updated Date | 2019-03-04 |
Provider Mailing Address Detail
| Address | Madigan Army Medical Center |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984310001 |
| Phone Number | 2539686478 |
| Fax Number | 2539689054 |
Provider's Primary Taxonomy Detail
| Speciality | Sleep Medicine |
|---|---|
| Taxonomy | 2084S0012X |
| Licence No | 4301077270 |
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Definition: A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorder |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1023686220002 | PA | -- |
Post Comment/ Review Below
What is the Jacob L. Gordon's 1114029550?
The Jacob L. Gordon's NPI (National Provider Identifier) Number is 1114029550. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jacob L. Gordon?
The Jacob L. Gordon is situated at Madigan Army Medical Center, in the city of Tacoma, state of WA, with the zip code 984310001.
What is the Jacob L. Gordon's specialty and taxonomy code?
The Jacob L. Gordon's specialty is Sleep Medicine, and the corresponding taxonomy code is 2084S0012X.
When did Jacob L. Gordon receive its 1114029550 assignment?
The Jacob L. Gordon was assigned its 1114029550 on 2006-09-05, which is the date when this unique identifier was issued to the organization.
When was the information regarding Jacob L. Gordon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jacob L. Gordon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-03-04.
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