Individual
JANEL F GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
806 JACKSON ST, COLUMBUS, IN 47201-6264
(812) 748-3412
Mailing address
806 JACKSON ST, COLUMBUS, IN 47201-6264
(812) 748-3412
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01080310A
IN
207QB0002X
Obesity Medicine (Family Medicine) Physician
01080310A
IN
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
01080310A
IN
Other
Enumeration date
04/02/2013
Last updated
03/04/2025
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