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

Mr. David Alan Gordon, AT

Individual provider Athletic Trainer · NPI 1558334771

Mr. David Alan Gordon, AT is an Athletic Trainer in Bolivar, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006

Practice location Address checks out

1500 N Oakland Ave
Bolivar, MO 65613-3011
Phone: (417) 777-7763
Fax: (417) 777-4378
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 00140 (MO)

Record details

NPI number1558334771
Entity typeIndividual (Type 1)
GenderMale
Credentials AT
Sole proprietorNo
NPI enumeratedFebruary 8, 2006
Last updated in NPPESJuly 13, 2026

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