Gordon, Randall

Gordon, Randall is an individual health care provider with primary practice located at 516 Nizhoni Blvd , Gallup NM 87301-5748. He recently has only one registered license in Nursing Service Providers / Ambulatory Care, which is considered as his primary health care specialty. Gordon, Randall can be contacted via phone (505) 722-1000.

Contact Information

Primary practice address
516 Nizhoni Blvd Gallup NM 87301-5748
Phone: (505) 722-1000
Fax: (505) 722-1310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Ambulatory Care 163WP2201X RN110486 Arizona

Profile Details

NPI number 1184817876
LBN Legal business name Gordon, Randall
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2007
Last updated Aug 25th, 2007 - about 17 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.

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