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

DR. ELY R GORDON, DO, MPH

Active

DR. ELY R GORDON, DO, MPH is a Internal Medicine healthcare provider located in MADILL, Oklahoma. NPI 1215992029 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · MADILL, OK

Registration Details

NPI Number
1215992029
Provider Type
Individual
Gender
Male
NPI Issued
Apr 18, 2006 (20.284693094972 yrs)
Last Updated
Mar 17, 2018
Licenses
DO 621 (AL)
DO 621 (AL)
2006023036 (MO)
2006023036 (MO)

Practice Information

Address
500 BROOKSIDE DRIVE
PO BOX 847
MADILL, OK, 734460847
Browse OK providers · Browse ZIP 73446
Phone
5807955506
Fax
5807955145
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Pediatrics
Additional Specialty
Pediatrics
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in MADILL, OK

Name Credential NPI
JOE L POTTER MD 1891721007
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.