DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GARY G. GORDON, D.O.

Active

DR. GARY G. GORDON, D.O. is a Geriatric Medicine healthcare provider located in MERIDIAN, Mississippi. NPI 1124010640 is currently active in the NPPES registry. Verify at CMS.

Geriatric Medicine · MERIDIAN, MS

Registration Details

NPI Number
1124010640
Provider Type
Individual
Gender
Male
NPI Issued
Aug 19, 2005 (21.004167673761 yrs)
Last Updated
Nov 6, 2013
License
07448 (MS)

Practice Information

Address
1800 12TH ST
MERIDIAN, MS, 393014158
Browse MS providers · Browse ZIP 39301
Phone
6017039265
Fax
6017039401
Primary Specialty
Geriatric Medicine
207QG0300X
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.