NPI 1457314288 · live from the CMS NPI Registry
O T Gordon, M.D.
Internal Medicine, Gastroenterology in Pine Bluff, AR. National Provider Identifier 1457314288, active.
NPI record
| NPI | 1457314288 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 1609 W 40th Ave, Suite 312, Pine Bluff, AR 71603 |
| Practice phone | 870-534-3344 |
| Enumerated | April 11, 2006 |
| Last updated | March 29, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | c5353 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.