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Individual

ANNALISA K GORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1229 MADISON ST, SUITE 1480, SEATTLE, WA 98104-3586
(206) 346-6647
(206) 346-6022
Mailing address
1229 MADISON ST, SUITE 1480, SEATTLE, WA 98104-3586
(206) 346-6647
(206) 346-6022

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD00042132
WA

Other

Enumeration date
10/17/2006
Last updated
11/14/2023
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