Dr. SUSANNA REBA GORDON M.D.
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1952309056- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 6939 PALM CT, RIVERSIDE, CA, 925062815
- Phone
- (951) 683-6771
Specialties & Taxonomies
Unknown
License: CO #49114
Unknown
License: IA #34232
Unknown
Primary License: CA #G84560