Individual
GREGORY A GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3700 SOUTHERN BLVD STE 401, KETTERING, OH 45429-1226
(855) 500-2873
(937) 281-3913
Mailing address
3700 SOUTHERN BLVD STE 401, KETTERING, OH 45429-1226
(855) 500-2873
(937) 281-3913
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
34004894
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0948925
—
OH
Enumeration date
05/11/2006
Last updated
01/19/2021
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