Search › Alaska › 106H00000X
Brian Gordon
NPI 1114285020 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1060 Gaffney Rd Stop 7440
Ft Wainwright, AK 99703 - Phone
- (907) 361-5418
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-12-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska