Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IAN GORDON, PA
ActiveIAN GORDON, PA is a Surgical Physician Assistant healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1770906539 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · OKLAHOMA CITY, OK
Registration Details
- NPI Number
- 1770906539
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2014 (12.531902152718 yrs)
- Last Updated
- Jun 12, 2015
- Licenses
-
2358 (OK)2358 (OK)2358 (OK)
Practice Information
- Address
-
4120 W MEMORIAL RDSUITE 300OKLAHOMA CITY, OK, 731209320Browse OK providers · Browse ZIP 73120
- Phone
- 4057483300
- Fax
- 4057491671
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in OKLAHOMA CITY, OK
| Name | Credential | NPI |
|---|---|---|
| MARK DANIEL JOHNSON | PA-C | 1508855677 |
| DEMETRIOUS FARROW | PA-C | 1598754608 |
| MS. AMY B RISLEY | PA | 1487626826 |
| MR. GRANT D ROBERTS | PA | 1336111483 |
| MR. RANDALL ASHLEY PAPE | PA-C | 1891761136 |
| STEPHANIE R. GARRISON | P.A. | 1124094446 |
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.