Individual provider · Type 1 NPI
Bruce A. Gordon, MD
General Practice Physician · Mill Valley, CA
NPI number
1639457773
Active
Practice location
8 Upland Ave
Mill Valley, CA 94941-1130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | A24767 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1639457773
Bruce A. Gordon, MD's National Provider Identifier is 1639457773, issued on Jul 22, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Mill Valley, CA. The record was last updated on Jul 22, 2011.