Individual
DR. JOANNE M GORMLEY
Active
Individual
DR. JOANNE M GORMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO00000433
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1045867
—
WA
05
—
1086883
—
WA
01
—
G17000140
MEDICARE
—
Enumeration date
09/20/2006
Last updated
06/13/2018
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