SearchIdaho133V00000X

Barbara Gordon

NPI 1760049217 · on the registry since 2019

Practice

Address
2723 N Lakeharbor Ln
Boise, ID 83703
Phone
(208) 608-8082

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-05-21

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