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Contact Information

SARAH L GORDON, MD
1109 W CLAY RD
VERSAILLES, MO65084
 Phone: 573-378-2349
 Fax: 888-979-8868
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SARAH L GORDON · (Female)

NPI Number 1386621118
Status Active
Credentials MD
Entity Individual
Enumeration date 12/22/2005
Last updated 11/28/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2001006974
  • MO Medicaid 205386402
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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