Individual
MR. JAMES NATHANIEL GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADIATION THERAPIST
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-3011
Mailing address
3835 WIND DRIFT DR W APT 2A, INDIANAPOLIS, IN 46254-3233
(216) 214-7289
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
288446
OH
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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