Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GORDON REED WOUTERS, DO
ActiveGORDON REED WOUTERS, DO is a Family Medicine healthcare provider located in HERMITAGE, Missouri. NPI 1851402010 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · HERMITAGE, MO
Registration Details
- NPI Number
- 1851402010
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.949468407694 yrs)
- Last Updated
- Jan 4, 2010
- License
-
114045 (MO)
Practice Information
- Address
-
HWY 254 & DALLAS ST.HERMITAGE, MO, 65668Browse MO providers · Browse ZIP 65668
- Phone
- 4177452121
- Fax
- 4177456141
- Primary Specialty
-
Family Medicine
207Q00000X
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.