Dr Richard Michael Gordon, MD | |
275 S Main St, Longmont, CO 80501-6462 | |
(720) 378-6597 | |
(303) 318-8659 |
Full Name | Dr Richard Michael Gordon |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 275 S Main St, Longmont, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023073939 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | DR.0054748 (Colorado) | Primary |
Entity Name | Integrated Rehab Consultants Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528379195 PECOS PAC ID: 7810184892 Enrollment ID: O20150417000953 |
Mailing Address | Practice Location Address |
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Dr Richard Michael Gordon, MD Po Box 118, Longmont, CO 80502-0118 Ph: (720) 378-6597 | Dr Richard Michael Gordon, MD 275 S Main St, Longmont, CO 80501-6462 Ph: (720) 378-6597 |
Jitka Perez, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 600 S Airport Rd, Building B, Suite C, Longmont, CO 80503 Phone: 720-491-3402 | |
Dr. Michael Gray Shell, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1551 Professional Ln Unit 180, Longmont, CO 80501 Phone: 720-476-3421 Fax: 720-502-5271 | |
Kelli Middleton, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1425 Belmont Dr, Longmont, CO 80503 Phone: 303-772-9292 | |
Dr. Melinda A Gehrs, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1925 W Mountain View Ave, Longmont, CO 80501 Phone: 303-485-3323 Fax: 303-494-3113 |