Organization
FOOTCARE CENTER - DR. MARK GORMAN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK RICHARD GORMAN D.P.M. (CEO)
(623) 934-3211
Entity
Organization
Contact information
Practice address
8608 N 59TH AVE, GLENDALE, AZ 85302-5404
(623) 934-3211
(623) 930-1891
Mailing address
8608 N 59TH AVE, GLENDALE, AZ 85302-5404
(623) 934-3211
(623) 930-1891
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0069
AZ
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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