Individual
ARIEL GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 CAPITOL ST UNIT 1, CLINTON, MS 39056-4026
(601) 925-3000
Mailing address
312 P ST NW, WASHINGTON, DC 20001-1930
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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