Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARYELLEN GORDIAN, MD
ActiveMARYELLEN GORDIAN, MD is a General Practice healthcare provider located in FT RICHARDSON, Alaska. NPI 1194704619 is currently active in the NPPES registry. Verify at CMS.
General Practice · FT RICHARDSON, AK
Registration Details
- NPI Number
- 1194704619
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 12, 2006 (20.569593598644 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2758 (AK)
Practice Information
- Address
-
BLDG 60702FT RICHARDSON, AK, 99505Browse AK providers · Browse ZIP 99505
- Phone
- 9073846017
- Primary Specialty
-
General Practice
208D00000X
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.