Individual
JOHN L. GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
A83652
CA
208800000X
Urology Physician
Primary
MD60091579
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A836520
—
CA
Enumeration date
04/03/2007
Last updated
08/12/2009
Update your record
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