Individual
DR. DWAYNE LEONARD GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 626-4657
(520) 626-5652
Mailing address
1501 N CAMPBELL AVE, PO BOX 245073, TUCSON, AZ 85724-0001
(520) 626-4657
(520) 626-5652
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R71098
AZ
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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