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Contact Information

LARRY M GORMAN, MD
616 SIXTH STREET
BREMERTON, WA98337
 Phone: 360-377-3776
 Fax: 360-479-0038
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for LARRY M GORMAN · (Male)

NPI # 1760603302
Status Active
Credentials MD
Entity Individual
Enumeration date 05/01/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # MD00012059
  • WA Medicaid 1297605
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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