Individual
DR. DEREK GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
211 KRUMMEL LN, CRESCO, PA 18326-7051
(570) 856-1242
Mailing address
211 KRUMMEL LN, CRESCO, PA 18326-7051
(570) 856-1242
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC011126
PA
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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