Individual
MR. RILEY GORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 N MERIDIAN ST STE 906, INDIANAPOLIS, IN 46204-1727
(317) 759-4262
(317) 426-2925
Mailing address
320 N MERIDIAN ST STE 906, INDIANAPOLIS, IN 46204-1727
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
—
—
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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