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Search › Missouri › 207RG0100X

Glenn Gordon, MD

NPI 1427077213 · on the registry since 2006 · sole proprietor

Practice

Address
714 Medical Park Dr
Mexico, MO 65265
Phone
(573) 590-1553
Fax
(877) 958-7717
Organisation at this address
Hannibal Regional Hospital
Center For Digestive & Liver Diseases, Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
207RG0100X
207RG0100X
Also registered as
207RG0100X
Licence states on file
IL, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-28

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