Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JUSTIN W GORDON, ATC, LAT
Active Sole ProprietorMR. JUSTIN W GORDON, ATC, LAT is a Athletic Trainer healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1205248200 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · OKLAHOMA CITY, OK
Registration Details
- NPI Number
- 1205248200
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2014 (12.184780630324 yrs)
- Last Updated
- May 24, 2014
- License
-
731 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3500 SW 119TH STOKLAHOMA CITY, OK, 731704500Browse OK providers · Browse ZIP 73170
- Phone
- 4056923252
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in OKLAHOMA CITY, OK
| Name | Credential | NPI |
|---|---|---|
| KEITH VAN CHLOUBER | ATC | 1831153931 |
| MR. DAVID R. GONZALEZ | ATC | 1649235771 |
| MRS. ANGELA J SCHMIT | MS, ATC/L | 1306850029 |
| REBECCA DIANE FLANAGAN | ATC | 1912027780 |
| DEVIN SCOTT FRYE | ATC | 1922216118 |
| JESSICA L BROOKS | ATC | 1194934646 |
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.