Flash Gordon, M.D.

General Practice Physician · Greenbrae, CA

Individual Active NPI

NPI number 1982666764

Practice location

1000 S Eliseo Dr
Ste 204
Greenbrae, CA 94904-2133
Phone
(415) 461-2262
Fax
(415) 461-9376

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NPI record

NPI
1982666764
Entity type
Individual (Type 1)
Enumeration date
April 5, 2006
Last updated
June 18, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X G37304 CA

About Dr. Gordon

Flash Gordon, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 1000 S Eliseo Dr, Ste 204, Greenbrae, CA 94904-2133. The NPI number 1982666764 was assigned on April 5, 2006 and the record was last updated on June 18, 2013.

Dr. Gordon lists a license in the registry: #G37304 (CA) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Flash Gordon, M.D.?

The NPI number is 1982666764.

What is the phone number of Dr. Gordon?

The phone number listed for the practice location is (415) 461-2262.

Where is Dr. Gordon located?

1000 S Eliseo Dr, Ste 204, Greenbrae, CA 94904-2133.

What is the taxonomy code for Dr. Gordon?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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