William David Gordon O.D.

NPI 1528050069 - Optometrist - 152W00000X

NPI Details
NPI 1528050069
Gender Male
Enumeration Date 08/19/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
3000 FORSYTHE AVE
MONROE LA, 71201-3012, US
Phone (318) 325-9474
Fax (318) 388-1868
Business Location
3000 FORSYTHE AVE
MONROE LA, 71201-3012, US
Phone (318) 325-9474
Fax (318) 388-1868
Toxanomy
Taxonomy Code 152W00000X
License State Louisiana
License Number LA909-230T
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According to our database, Dr. William David Gordon O.D. NPI is 1528050069, taxonomy code is 152W00000X and license number is LA909-230T, license state is located at Louisiana. William David Gordon O.D. physically located at 3000 Forsythe Ave, Monroe LA, 71201-3012. NPI Number William David Gordon O.D. has the Individual type.

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1528050069 NPI number is provided on an as is basis without warranty of any kind. 1528050069 is maintained by the National Plan & Provider Enumeration System. The contents of William David Gordon O.D. are for informational purposes only.