Individual
DAVID E GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2651 SOUTH AVE W, VILLAGE HEALTLH CARE CENTER, MISSOULA, MT 59804-6405
(406) 728-7388
Mailing address
2651 SOUTH AVE W, VILLAGE HEALTH CARE CENTER, MISSOULA, MT 59804-6405
(406) 329-5623
(406) 543-7230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
7440
MT
207Q00000X
Family Medicine Physician
Primary
79029
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0059585
—
MT
Enumeration date
07/21/2006
Last updated
10/21/2019
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