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Individual

DR. JOSHUA PAUL GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2002 12TH AVE NW STE B, ARDMORE, OK 73401-1206
(580) 221-2022
Mailing address
2002 12TH AVE NW STE B, ARDMORE, OK 73401-1206
(580) 221-2022
(580) 221-2024

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
6410
OK
207L00000X
Anesthesiology Physician
T0496
TX

Other

Enumeration date
04/18/2017
Last updated
08/03/2022
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