# IKE B. GORMAN DPM., PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104095637
- **Authorized official:** DR. IKE B GORMAN DPM (OWNER)
- **Authorized official phone:** (520) 722-5115

## Contact information

- **Practice address:** 1500 N WILMOT RD, SUITE A230, TUCSON, AZ 85712-4416
- **Practice address phone:** (520) 722-5115
- **Practice address fax:** (520) 722-0611
- **Mailing address:** PO BOX 69040, TUCSON, AZ 85737-0009
- **Mailing address phone:** (520) 722-5115
- **Mailing address fax:** (520) 722-0611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 301 | AZ | Yes |

## Other

- **Enumeration date:** 02/28/2008
- **Last updated:** 05/17/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 700981 | — | AZ |