Search › Virginia › 103TC0700X
David Gordon, PH.D
NPI 1396755617 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1611 Colley Ave Ste D
Norfolk, VA 23517 - Phone
- (757) 288-9741
- Fax
- (757) 625-2563
- Organisation at this address
- Live Body Brave
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Virginia