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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DERRICK GORDON II

Active Sole Proprietor

MR. DERRICK GORDON II is a Foot & Ankle Surgery healthcare provider located in CANTON, Ohio. NPI 1356191449 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery · CANTON, OH

Registration Details

NPI Number
1356191449
Provider Type
Individual
Gender
Male
NPI Issued
Mar 25, 2024 (2.3716312040187 yrs)
Last Updated
Mar 25, 2024
License
TH945069 (OH)
Sole Proprietor
Yes

Practice Information

Address
2401 FLETCHER AVE NE
CANTON, OH, 447054625
Browse OH providers · Browse ZIP 44705
Phone
3302686592
Primary Specialty
Foot & Ankle Surgery
3747P1801X

Other Foot & Ankle Surgery Providers in CANTON, OH

Name Credential NPI
MR. JACK FOUNTAIN III 1831347129
TONYA R VARNER 1679713531
KIRK WADE GRUBER 1770710345
MRS. KAREN FONTES 1063879401
CONSTANCE GILMER 1447602677
NAJAH MCGHEE 1619411402
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.