Gordon, Barry Edmund
Gordon, Barry Edmund is an individual health care provider with primary practice located at 2450 E Guadalupe Rd #102, Gilbert AZ 85234-5116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Gordon, Barry Edmund can be contacted via phone (480) 539-8300.Contact Information
Primary practice address
2450 E Guadalupe Rd #102
Gilbert AZ 85234-5116
Phone: (480) 539-8300
Fax: (480) 539-8311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 23608 | Arizona |
Profile Details
| NPI number | 1821074048 |
|---|---|
| LBN Legal business name | Gordon, Barry Edmund |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Nov 17th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821074048 | NPPES |
| Arizona | MEDICAID | 327074 |
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