Search › Missouri › 103T00000X
Aqualus Gordon, PH.D
NPI 1235729575 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1320 Ne Windsor Dr
Lees Summit, MO 64086 - Phone
- (816) 287-8959
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TC1900X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-20
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 Missouri