| Minor W Gordon Ph D Pc | |
|
3223 E 31st St Tulsa OK 74105-2452 | |
| (918) 747-5308 | |
| Not Available |
| Full Name | Minor W Gordon Ph D Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3223 E 31st St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Minor William Gordon (PRESIDENT) |
| Authorized Official Contact | 9187475308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minor W Gordon Ph D Pc 3223 E 31st St Tulsa OK 74105-2452 Ph: (918) 747-5308 | Minor W Gordon Ph D Pc 3223 E 31st St Tulsa OK 74105-2452 Ph: (918) 747-5308 |
| NPI Number | 1740466200 |
|---|---|
| Provider Enumeration Date | 01/15/2008 |
| Last Update Date | 01/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740466200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 309 (Oklahoma) | Primary |
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