Individual
JOHN BLAIR O'GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS CCC-SLP
Contact information
Practice address
2667 ENTERPRISE RD, RENO, NV 89512-1666
(775) 338-3857
Mailing address
1448 ORCA WAY, RENO, NV 89506-6608
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1071
NV
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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