| Doctor Name: | GARRY GORDON |
| NPI Number: | 1053712059 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD(H) |
| License Number: | D0049 |
| Business Practice Address: | 600 N Beeline Hwy Payson, AZ - 85541 |
| Business Phone Number: | 9284724263 |
| Business Fax Number: | |
| Mailing Address: | 600 N Beeline Hwy, PAYSON |
| State: | AZ |
| Postal Code: | 85541 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/09/2014 |
| NPI Last Update Date: | 09/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 175L00000X |
| License Number: | D0049 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Homeopath |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is educated and trained in a system of therapeutics in which diseases are treated by drugs which are capable of producing in healthy persons symptoms like those of the disease to be treated. Treatment requires administering a drug in minute doses. |