| Doctor Name: | DR. JAMES M GORDON |
| NPI Number: | 1780662320 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 36171 |
| Business Practice Address: | 13640 N Plaza Del Rio Blvd Peoria, AZ - 853814846 |
| Business Phone Number: | 6238763900 |
| Business Fax Number: | 6238766965 |
| Mailing Address: | 14416 W Meeker Blvd, Suite 201 SUN CITY WEST |
| State: | AZ |
| Postal Code: | 853755284 |
| Phone Number: | 6235835273 |
| Fax Number: | 6235835117 |
| NPI Enumeration Date: | 01/04/2006 |
| NPI Last Update Date: | 11/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 36171 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |