Individual
TIMOTHY S GORMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
888 SWIFT BLVD, RICHLAND, WA 99352-3514
(509) 946-4611
Mailing address
MSC 1023, P.O. BOX 2300, SPOKANE, WA 99210
(509) 946-4611
(509) 943-9272
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD035310
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274577
—
OR
05
—
8487944
—
WA
Enumeration date
10/25/2005
Last updated
12/06/2007
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