Provider Demographics
NPI:1063490985
Name:GORDON, IRIT W (MD)
Entity type:Individual
Prefix:DR
First Name:IRIT
Middle Name:W
Last Name:GORDON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:901 W HAMPDEN AVE
Mailing Address - Street 2:UNIT 103
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-7330
Mailing Address - Country:US
Mailing Address - Phone:303-306-7783
Mailing Address - Fax:303-306-7753
Practice Address - Street 1:2550 S PARKER RD
Practice Address - Street 2:STE 206
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1622
Practice Address - Country:US
Practice Address - Phone:303-306-7783
Practice Address - Fax:303-306-7753
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2023-05-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO25892207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01258920Medicaid
COE50098Medicare ID - Type Unspecified
COB98745Medicare UPIN