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Individual
PHILIP GORMAN
Active
Individual
PHILIP GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
04-35133
KS
207R00000X
Internal Medicine Physician
046805
KS
Other
Enumeration date
06/18/2007
Last updated
09/17/2012
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