Gordon Goldman MD LLC
Organization Active NPI Obstetrics & Gynecology Physician · Potosi, MO
NPI 1770915258 · NPPES record last updated Aug 6, 2013
Key facts
- NPI
- 1770915258
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 30541 (MO)
- Legal business name
- GORDON GOLDMAN MD LLC
- Practice address
- 612 E High St
Suite 220
Potosi, MO 63664-1406 - Phone
- (573) 438-3660
- Fax
- (314) 576-1733
- NPI assigned
- Aug 6, 2013
- Organization subpart
- No
Authorized official
- Name
- Gordon M Goldman, MD
- Title
- Physician/Owner
- Phone
- (573) 438-3660
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | 30541 | MO | Yes |
Addresses
Primary practice location
612 E High St
Suite 220
Potosi, MO 63664-1406
Mailing address
612 E High St
Suite 220
Potosi, MO 63664-1406
Phone (573) 438-3660
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- Georgian Gardens Operations Management LLC
- Jennifer Gillam
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- Terra Renee Graves
- Kristie Lynn Gray
- Great Mines Health Center
- Penny Kaye Grechus
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All providers in Potosi, MO · Obstetrics & Gynecology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.