Individual provider · Type 1 NPI

Jared Junior Jacob Gordon, MD

Student in an Organized Health Care Education/Training Program · Roanoke, VA

NPI number 1407606536 Active

Practice location

1906 Belleview Ave SE
Roanoke, VA 24014-1838

Call (540) 981-7000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1407606536

Jared Junior Jacob Gordon, MD's National Provider Identifier is 1407606536, issued on Mar 22, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Roanoke, VA. The record was last updated on Mar 26, 2024.