Individual
DR. RICHARD JOHN GORMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3700 SOUTHERN BLVD STE 300, KETTERING, OH 45429-1226
(937) 643-9299
(937) 643-2343
Mailing address
3700 SOUTHERN BLVD STE 300, KETTERING, OH 45429-1226
(937) 643-9299
(937) 643-2343
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
34.009944
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099789
—
OH
Enumeration date
12/17/2012
Last updated
01/19/2021
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