Individual
CODEE GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
(800) 355-2470
(866) 952-2188
Mailing address
5874 BOW ISLAND AVE, LAS VEGAS, NV 89122-3449
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO3339
NV
Other
Enumeration date
03/02/2018
Last updated
06/21/2023
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