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NPI Profile for GORMAN MEDICAL LLC in CRIPPLE CREEK, CO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
363LS0200X | 50 | Nurse Practitioner |
| NPI Number | 1609508845 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/27/2022 | |
| Last updated | 09/06/2023 - About 3 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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GORMAN MEDICAL LLC
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GORMAN MEDICAL LLC