Individual
ANDREW GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10474 W THUNDERBIRD BLVD, STE 200, SUN CITY, AZ 85351-3015
(855) 506-3876
(855) 523-0513
Mailing address
PO BOX 2099, 85372-2099, SUN CITY, AZ 85372-2099
(855) 506-3876
(855) 523-0513
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
3871
AZ
2084N0400X
Neurology Physician
Primary
3871
AZ
2084P0800X
Psychiatry Physician
3871
AZ
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
3871
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
779308
—
AZ
Enumeration date
01/26/2006
Last updated
03/17/2016
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