Individual
GUY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRS
Contact information
Practice address
12115 SHERATON LN, CINCINNATI, OH 45246-1613
(513) 904-1646
Mailing address
12115 SHERATON LN, CINCINNATI, OH 45246-1613
(513) 403-7732
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.005748
OH
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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