Search › Ohio › 3747P1801X
Derrick Gordon
NPI 1356191449 · on the registry since 2024 · sole proprietor
Practice
- Address
- 2401 Fletcher Ave Ne
Canton, OH 44705 - Phone
- (330) 268-6592
Registry record
- Primary taxonomy
- 3747P1801X
3747P1801X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio