| Doctor Name: | SCOTT WILLIAM GORDON |
| NPI Number: | 1164745824 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 0738 |
| Business Practice Address: | 2301 Indian Wells Rd Ste A Alamogordo, NM - 883104611 |
| Business Phone Number: | 5754340639 |
| Business Fax Number: | |
| Mailing Address: | 2301 Indian Wells Rd Ste A, ALAMOGORDO |
| State: | NM |
| Postal Code: | 883104611 |
| Phone Number: | 5754340639 |
| Fax Number: | |
| NPI Enumeration Date: | 03/10/2010 |
| NPI Last Update Date: | 03/31/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 0738 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |