Organization
GORMAN MOAPA VALLEY FAMILY PRATICE PLLC MICHAEL J GORMAN SOLE MBR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JUSTIN GORMAN D.O. (PHYSICIAN / OWNER)
(702) 398-3621
Entity
Organization
Contact information
Practice address
1925 WHIPPLE AVE, STE 30, LOGANDALE, NV 89021
(702) 398-3621
(702) 398-3639
Mailing address
PO BOX 357, LOGANDALE, NV 89021-0357
(702) 398-3621
(702) 398-3639
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1423
NV
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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