# DR. GARY R. DORFMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1164584942
- **Gender:** Man
- **Credential:** D.P.M.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 12LL01 | NV | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E1101 | CA | — |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 01/16/2017