Individual
JOSHUA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
(765) 838-4758
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
62058
GA
367H00000X
Anesthesiologist Assistant
Primary
75000251A
IN
367H00000X
Anesthesiologist Assistant
—
TX
Other
Enumeration date
07/02/2018
Last updated
04/14/2026
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