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Kristopher Gordon
NPI 1952734170 · on the registry since 2013
Practice
- Address
- 615 E Portland Street
Phoenix, AZ 85004 - Phone
- (602) 320-9109
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-08-12
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 Arizona