Gary L Gordon


Address: 6800 Backlick Rd, Suite 202, Springfield, VA 22150-3069
Phone: 5714477827

Gary L Gordon (NPI# 1952431629, PAC ID# 5698037240) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.

Physician Overview

Nation Provider ID (NPI) 1952431629
PAC ID by PECOS 5698037240
Professional Enrollment ID I20180320002496
Full Name Gary L Gordon
Address 6800 Backlick Rd
Suite 202
Springfield
VA 22150-3069
Phone Number 5714477827
Gender M
Graduation Year 1984
Primary Specialty CLINICAL SOCIAL WORKER
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
6800 Backlick Rd, Suite 202, Springfield, VA 22150-3069 5714477827

Organization Information

Office Location

Street Address 6800 BACKLICK RD
SUITE 202
City SPRINGFIELD
State VA
Zip 22150-3069

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Competitor

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City SPRINGFIELD
Zip Code 22150
Specialty CLINICAL SOCIAL WORKER
City + Specialty SPRINGFIELD + CLINICAL SOCIAL WORKER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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