Individual
EVAN MCFARLIN GOREHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18504 E RAVEN DR, QUEEN CREEK, AZ 85142-8696
(480) 567-2912
Mailing address
18504 E RAVEN DR, QUEEN CREEK, AZ 85142-8696
(480) 567-2912
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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