Individual
CARYL S. GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20401 N 73RD ST, SUITE 255, SCOTTSDALE, AZ 85255-4107
(480) 323-1880
Mailing address
PO BOX 31630, TUCSON, AZ 85751-1630
(520) 784-6200
(520) 784-6109
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
21524
AZ
207X00000X
Orthopaedic Surgery Physician
21524
AZ
2083X0100X
Occupational Medicine Physician
Primary
21524
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170374
—
AZ
Enumeration date
08/03/2005
Last updated
09/30/2015
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