Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leonard B Gordon, IDC/SMDR

Individual provider Independent Duty Corpsman · NPI 1508155375

Leonard B Gordon, IDC/SMDR is an Independent Duty Corpsman in Norfolk, Virginia. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

Comnavsurflant N02M 1430 Mitscher Ave
Norfolk, VA 23551-2494
Phone: (904) 718-0427
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1508155375
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC/SMDR
Sole proprietorYes
NPI enumeratedApril 1, 2011
Last updated in NPPESMay 4, 2011

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