Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHN EDWARD GORDON, M.D.
Active Sole ProprietorMR. JOHN EDWARD GORDON, M.D. is a Psychiatry healthcare provider located in COEUR D' ALENE, Idaho. NPI 1093868051 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · COEUR D' ALENE, ID
Registration Details
- NPI Number
- 1093868051
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 20, 2007 (19.520568708651 yrs)
- Last Updated
- Sep 30, 2009
- Licenses
-
M-6213 (ID)M-6213 (ID)IDAHOM-6213 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1200 W. IRONWOODSUITE # 306COEUR D' ALENE, ID, 83814Browse ID providers · Browse ZIP 83814
- Phone
- 2086511335
- Fax
- 2087650779
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Psychiatric Neurology
- Additional Specialty
- Psychiatry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.