Individual
RONALD B O'GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
861 HILLCREST RD, MOBILE, AL 36695-3909
(251) 410-8346
(251) 410-8347
Mailing address
861 HILLCREST RD, MOBILE, AL 36695
(251) 410-8346
(251) 410-8347
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
13943
AL
207P00000X
Emergency Medicine Physician
13943
AL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
13943
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000019747
—
AL
05
—
0018783
—
MS
01
—
3710050
UHC
AL
01
—
409485
AETNA
AL
05
—
910198500
—
FL
01
—
C71741
HEALTHSPRINGS OF AL
AL
Enumeration date
01/08/2007
Last updated
03/29/2021
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