Michael Earl Gorton, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Liberty, MO. Individual provider (NPI-1).
NPI number1679684591
StatusActive
Last updated in NPPESSep 25, 2014
Details
- NPI
- 1679684591
- Entity type
- Individual (NPI-1)
- Name
- Michael Earl Gorton
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Sep 25, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | R4P01 | MO | Yes |
| 208600000X | Surgery | R4P01 | MO | |
| 2086S0129X | R4P01 | MO |
Practice location
2521 Glenn Hendren DrSuite 306
Liberty, MO 64068-3388
Phone 816-407-5490 · Fax 816-407-5491
Mailing address
Po Box 219672Kansas City, MO 64121-9672
Phone 816-407-5490 · Fax 816-407-5491
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