Christopher Jg Gordon in Coon Rapids - Physician Assistant
Christopher Jg Gordon - NPI 1598727174
Christopher Jg Gordon is a Physician Assistant in Coon Rapids, Minnesota. Christopher Jg Gordon practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Christopher Jg Gordon is 1598727174. The last update date is 2021-03-11.
Christopher Jg Gordon's current location address is 9055 Springbrook Dr Nw, Coon Rapids, Minnesota. You can contact this provider via phone number 7637809155. The mailing address for Christopher Jg Gordon is 9055 Springbrook Dr Nw, Coon Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Christopher Jg Gordon |
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Address | 9055 Springbrook Dr Nw, Coon Rapids, Minnesota |
Phone Number | 7637809155 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1598727174 |
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Provider Enumeration Date | 2006-04-06 |
Last Updated Date | 2021-03-11 |
Provider Mailing Address Detail
Address | 9055 Springbrook Dr Nw |
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City | Coon Rapids |
State | Minnesota (MN) |
Post Code | 554335841 |
Phone Number | 7637809155 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 9727 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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12393500 | MN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Christopher Jg Gordon by the Centers for Medicare & Medicaid Services?
The Christopher Jg Gordon has been issued the NPI (National Provider Identifier) 1598727174. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Christopher Jg Gordon is located?
The Christopher Jg Gordon is situated at the following address: 9055 Springbrook Dr Nw, Coon Rapids, MN, 554335841.
What is Christopher Jg Gordon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Christopher Jg Gordon's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Christopher Jg Gordon receive the assignment of its 1598727174 from the Centers for Medicare & Medicaid Services?
The Christopher Jg Gordon was issued its 1598727174 by the Centers for Medicare & Medicaid Services on 2006-04-06.
When was the information regarding Christopher Jg Gordon most recently updated?
The details pertaining to the Christopher Jg Gordon, including its address, specialty, and other relevant information, were last refreshed on 2021-03-11.
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