Timothy Eugene Gordon O.D.

NPI 1053324988 - Optometrist - 152W00000X

NPI Details
NPI 1053324988
Gender Male
Enumeration Date 08/14/2006
Last Updated 09/27/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
SANTA FE NM, 87507-2677, US
Phone (505) 424-9139
Fax (505) 424-1384
Business Location
PO BOX 22683
SANTA FE NM, 87502-2683, US
Phone (575) 639-4767
Fax (505) 424-1384
Taxonomy Code 152W00000X
License State New Mexico
License Number 2274
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According to our database, Dr. Timothy Eugene Gordon O.D. NPI is 1053324988, taxonomy code is 152W00000X and license number is 2274, license state is located at New Mexico. Timothy Eugene Gordon O.D. physically located at 5701 Herrera Dr, Santa Fe NM, 87507-2677. NPI Number Timothy Eugene Gordon O.D. has the Individual type.

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1053324988 NPI number is provided on an as is basis without warranty of any kind. 1053324988 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Eugene Gordon O.D. are for informational purposes only.