Individual
JOSEPH D O'GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4300B W RAILROAD ST, GULFPORT, MS 39501-2568
(228) 863-7393
(228) 864-0546
Mailing address
4300B W RAILROAD ST, GULFPORT, MS 39501-2568
(228) 863-7393
(228) 864-0546
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
13450
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115334
—
MS
01
—
390004123
RAILROAD MEDICARE
—
Enumeration date
10/18/2005
Last updated
12/29/2010
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