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John Gordon, M.D
NPI 1093868051 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1200 W. Ironwood
Suite # 306
Coeur D' Alene, ID 83814 - Phone
- (208) 651-1335
- Fax
- (208) 765-0779
Registry record
- Primary taxonomy
- Psychiatry Physician
2084P0800X
- Also registered as
- Psychiatry Physician
Child & Adolescent Psychiatry Physician - Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-09-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho