Dr. Harry William Gordon
Family Doctor - Adult Medicine
12566 W Bajada Rd
Peoria
, Arizona 85383-2805
Dr. Harry William Gordon
Family Doctor - Adult Medicine
12566 W Bajada Rd
Peoria
, Arizona 85383-2805
(623) 388-3729
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. Harry William Gordon
- 12566 W Bajada Rd
- Peoria, AZ
- Zip : 85383-2805
- Fax : (623) 388-3729
- Phone : (480) 948-4650
Second Address
- Dr. Harry William Gordon
- 12566 W Bajada Rd
- Peoria, AZ
- Zip : 85383-2805
- Fax : (623) 388-3729
- Phone : (480) 948-4650
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 7672 | AZ |
National Provider Identifier
| NPI | 1205095452 |
|---|---|
| Provider Name | Dr. Harry William Gordon |
| First Address | Peoria, AZ 85383-2805 |
| Second Address | Peoria, AZ 85383-2805 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/06/2008 |
| Last Update Date | 03/06/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| BGFJN | MEDICARE (01) | |
| D36935 | (02) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.