Michael D Gordon Od PA

NPI #1306931472 in Derby, Kansas

Provider Information

NPI Number: 1306931472
Entity Type: Organization
Organization Name: Michael D Gordon Od PA
Primary Specialty: Optometrist
Enumeration Date: Oct 4, 2006
Last Updated: Feb 25, 2008

Practice Location

Address: 1221 N ROCK RD
City: Derby
State: Kansas
ZIP Code: 67037-3678
Phone: (316) 788-2020

Authorized Official

Name: MICHAEL D GORDON, OD
Title: PRESIDENT
Phone: (316) 684-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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