IndividualActive
John Gordon, M.D.
NPI 1093868051 · Psychiatry Physician · Coeur D' Alene, ID
Provider details
- NPI number
- 1093868051
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- M-6213 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1200 W. Ironwood
Suite # 306
Coeur D' Alene, ID 83814
Phone: (208) 651-1335
Fax: (208) 765-0779
Approximate (ZIP-level) locationGet directions
Mailing address
1200 W. Ironwood
Coeur D' Alene, ID 83814
Registry dates
- Enumerated
- 2007-01-20
- Last updated
- 2009-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.