Individual
MYRNA PHYLLIS GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HWY 160 MP 394.3, KAYENTA, AZ 86033
(928) 697-4000
Mailing address
PO BOX 3412, KAYENTA, AZ 86033-3412
(928) 697-4000
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
12/04/2025
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