Dr. Richard Michael Gordon
Physical Medicine & Rehabilitation Doctor
275 S Main St
Longmont
, Colorado 80501-6462
Dr. Richard Michael Gordon
Physical Medicine & Rehabilitation Doctor
275 S Main St
Longmont
, Colorado 80501-6462
(720) 378-6597
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Dr. Richard Michael Gordon
- Po Box 118
- Longmont, CO
- Zip : 80502-0118
- Phone : (720) 378-6597
Second Address
- Dr. Richard Michael Gordon
- 275 S Main St
- Longmont, CO
- Zip : 80501-6462
- Fax : (303) 318-8659
- Phone : (720) 378-6597
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | DR.0054748 | CO |
National Provider Identifier
| NPI | 1023073939 |
|---|---|
| Provider Name | Dr. Richard Michael Gordon |
| First Address | Longmont, CO 80502-0118 |
| Second Address | Longmont, CO 80501-6462 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/04/2006 |
| Last Update Date | 30/12/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F58902 | (02) | SC |
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.