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Dr. Susanna Reba Gordon, MD
Radiation Oncology Physician in Riverside, California
NPI 1952309056

Susanna Reba Gordon is a Radiation Oncology Physician based in Los Angeles, CA and is specialized in Radiation Oncology. Susanna Reba Gordon practices in Riverside, CA and has the professional credentials of MD. The NPI Number for Susanna Reba Gordon is 1952309056 and holds a License No. 49114 (California).

The current practice location address for Susanna Reba Gordon is 6939 Palm Ct, Riverside, CA and can be reached out via phone at 951-683-6771.

Location: 6939 Palm Ct, Riverside, CA, 90051-0185
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952309056
Provider Name
Susanna Reba Gordon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
6939 Palm Ct, Riverside, CA, 90051-0185
Phone Number
951-683-6771
Fax Number
Provider Enumeration Date
07/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CB216780 01 CA MEDICARE PTAN
CA142866 01 CA MEDICARE PTAN
CA153446 01 CA MEDICARE PTAN
1246710 05 IA
institution
Provider Business Practice Location Address Details
Address
6939 Palm Ct
City
Riverside
State
California
Zip
92506-2815
Phone Number
951-683-6771
Fax Number
person
Provider Business Mailing Address Details
Address
6939 Palm Ct
City
Riverside
State
California
Zip
92506-2815
Phone Number
951-683-6771
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
49114 (Colorado)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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