Individual
JOSHUA JOHN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
405 LONDONDERRY DR STE 105, WACO, TX 76712-7920
(480) 628-8528
Mailing address
3012 PUEBLO DR, WACO, TX 76712-8863
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP145736
TX
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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