Individual
DR. PATRICK D GORMAN
Active
Individual
DR. PATRICK D GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
F86110
MD
207RC0000X
Cardiovascular Disease Physician
Primary
M-8388
ID
207RC0000X
Cardiovascular Disease Physician
M8388
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010136417
BS OF IDAHO
—
01
—
060067151
RAILROAD MEDICARE
—
01
—
1103740
CIGNA
—
01
—
118682500
EDS CONSULTEC, INC.
WY
05
—
118682500
—
WY
01
—
46763
BC OF IDAHO
—
05
—
806232000
—
ID
Enumeration date
07/27/2005
Last updated
11/17/2015
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