Individual
GREGORY GORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6100 N KEYSTONE AVE STE 420, INDIANAPOLIS, IN 46220-2892
(317) 296-4914
(317) 713-0177
Mailing address
6708 E 43RD PL, INDIANAPOLIS, IN 46226-3676
(317) 730-3130
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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