Gordon, Ronald D
Gordon, Ronald D is an sole proprietor health care provider with primary practice located at 3811 East Bell Road Suite 208, Phoenix AZ 85032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Gordon, Ronald D can be contacted via phone (602) 482-7676.Contact Information
Primary practice address
3811 East Bell Road Suite 208
Phoenix AZ 85032
Phone: (602) 482-7676
Fax: (602) 482-6152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 8503 | Arizona |
Profile Details
| NPI number | 1356303747 |
|---|---|
| LBN Legal business name | Gordon, Ronald D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Jan 17th, 2012 - about 12 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 | 1356303747 | NPPES |
| Arizona | Other | 70412 | PTAN |
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