Michael D Gordon Od PA

NPI #1497840565 in Wellington, Kansas

Provider Information

NPI Number: 1497840565
Entity Type: Organization
Organization Name: Michael D Gordon Od PA
Primary Specialty: Optometrist
Enumeration Date: Oct 4, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 110 N WASHINGTON AVE
City: Wellington
State: Kansas
ZIP Code: 67152-3949
Phone: (620) 326-2020

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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