institution
Stephen M. Gordon. D.o., P.c
Specialist in Kansas City, Missouri
NPI 1548321201

Stephen M. Gordon. D.o., P.c is a Specialist based in Kansas City, MO. Stephen M. Gordon. D.o., P.c practices in Kansas City, MO. The NPI Number for Stephen M. Gordon. D.o., P.c is 1548321201 and holds a License No. R9794 (Missouri).

The current practice location address for Stephen M. Gordon. D.o., P.c is 1004 Carondelet Dr, Kansas City, MO and can be reached out via phone at 816-942-3060 and via fax at 816-942-3141.

Location: 1004 Carondelet Dr, Kansas City, MO, 64114-4802
institution
Provider Profile Details
NPI Number
1548321201
Provider Name
Stephen M. Gordon. D.o., P.c
Credential
Provider Entity Type
Organization
Address
1004 Carondelet Dr, Kansas City, MO, 64114-4802
Phone Number
816-942-3060
Fax Number
816-942-3141
Provider Enumeration Date
12/13/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
14039022 01 MO BLUE CROSS BLUE SHIELD
10818069 01 MO BLUE CROSS BLUE SHIELD
33375001 01 MO BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1004 Carondelet Dr
City
State
Zip
64114-4802
Phone Number
816-942-3060
Fax Number
816-942-3141
person
Provider Business Mailing Address Details
Address
1004 Carondelet Dr
City
State
Zip
64114-4802
Phone Number
816-942-3060
Fax Number
816-942-3141
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
R9794 (Missouri)
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.
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