DR. Ely R Gordon, DO, MPH

NPI #1215992029 in Madill, Oklahoma

Provider Information

NPI Number: 1215992029
Entity Type: Individual
Name: DR. Ely R Gordon, DO, MPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: DO, MPH
Enumeration Date: Apr 18, 2006
Last Updated: Mar 17, 2018

Practice Location

Address: 500 BROOKSIDE DRIVE
Address 2: PO BOX 847
City: Madill
State: Oklahoma
ZIP Code: 73446-0847
Phone: (580) 795-5506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Pediatrics	208000000X

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