| Doctor Name: | DEBRA FISHER GORDY |
| NPI Number: | 1073939971 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RDMS, RVT, ARRT |
| License Number: | 188183 |
| Business Practice Address: | 18667 Little Ln Delmar, DE - 199404000 |
| Business Phone Number: | 4433591382 |
| Business Fax Number: | |
| Mailing Address: | Po Box 208, DELMAR |
| State: | DE |
| Postal Code: | 199400208 |
| Phone Number: | 4433591382 |
| Fax Number: | |
| NPI Enumeration Date: | 03/15/2014 |
| NPI Last Update Date: | 03/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471C3402X |
| License Number: | 188183 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Radiography |
| Taxonomy Definition: | |