Whalio Doctors

NPI 1023073939

Richard Michael Gordon, MD

Practitioner Physical Medicine & Rehabilitation Physician Longmont, CO

Practice location

Address
275 S Main St, Longmont, CO 80501-6462
Phone
(720) 378-6597
Fax
(303) 318-8659
Mailing address
PO Box 118, Longmont, CO 80502-0118

Registered specialties

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence DR.0054748 (CO)

Registry record

NPI
1023073939
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Apr 2006
Record last updated
30 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.