Most Relevant Information
Provider Data
| NPI Number: | 1003266032 |
| Provider Name: | MATTHEW GORDON MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/21/2016 |
| Last Updated: | 11/22/2019 |
Provider Practice Location
10539 PROFESSIONAL CIR STE 200
RENO
NV
89521
Practice Location Phone/Fax
| Phone: | 7754457022 |
| Fax: | 7758282344 |
Provider Mailing Location
10539 PROFESSIONAL CIR STE 200
RENO
NV
895213858
Provider Mailing Phone/Fax
| Phone: | 7754457026 |
| Fax: | 7758282344 |