Individual
MRS. CAROL SUE GORNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 S CLINTON ST, SUITE 195, IOWA CITY, IA 52240-4034
(319) 384-0520
(319) 384-0603
Mailing address
2942 DUBUQUE ST NE, IOWA CITY, IA 52240-7915
(563) 357-2924
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000801
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000801
MEDICAL LICENSE
IA
01
—
910761
NCCPA CERTIFICATE #
IA
Enumeration date
01/19/2006
Last updated
03/07/2023
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