Mark Ernest Gordon MD

NPI 1083686257 - Internal Medicine - 207R00000X

NPI Details
NPI 1083686257
Gender Male
Enumeration Date 02/02/2006
Last Updated 12/17/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
2700 CLAY EDWARDS DR
SUITE 400
NORTH KANSAS CITY MO, 64116-3251, US
Phone (816) 421-4240
Fax (816) 421-5015
Business Location
9411 N OAK TRFY
SUITE LL1
KANSAS CITY MO, 64155-2262, US
Phone (816) 436-7072
Fax (816) 436-2743
Toxanomy
Taxonomy Code 207R00000X
License State Missouri
License Number R1D12
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According to our database, Dr. Mark Ernest Gordon MD NPI is 1083686257, taxonomy code is 207R00000X and license number is R1D12, license state is located at Missouri. Mark Ernest Gordon MD physically located at 2700 Clay Edwards Dr, North Kansas City MO, 64116-3251. NPI Number Mark Ernest Gordon MD has the Individual type.

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1083686257 NPI number is provided on an as is basis without warranty of any kind. 1083686257 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Ernest Gordon MD are for informational purposes only.