Individual
GARRETT ISAAC GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PT, DPT
Contact information
Practice address
3177 BELLEVUE AVE., CINCINNATI, OH 45219-0769
(513) 558-6356
(513) 558-0995
Mailing address
231 ALBERT SABIN WAY, ML 0531, CINCINNATI, OH 45267-0531
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
57.256603
OH
208D00000X
General Practice Physician
57.256603
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2024
Last updated
07/01/2024
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