| NPI | 1578877205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY K GORDON President/Physician 8707181612-850-6053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E1629) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2014-02-24 |