| Doctor Name: | MICHAEL K GORDON |
| NPI Number: | 1023248648 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | |
| Business Practice Address: | 2021 North 12th Street Community Hospital Grand Junction, CO - 81501 |
| Business Phone Number: | 9702566440 |
| Business Fax Number: | 9702566538 |
| Mailing Address: | Po Box 308, MONTROSE |
| State: | CO |
| Postal Code: | 81402 |
| Phone Number: | 9707650818 |
| Fax Number: | 9704978410 |
| NPI Enumeration Date: | 07/16/2009 |
| NPI Last Update Date: | 10/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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. |