Mark Richard Gorman in Phoenix - Foot & Ankle Surgery
Mark Richard Gorman - NPI 1780680165
Mark Richard Gorman is a Foot & Ankle Surgery in Phoenix, Arizona. Mark Richard Gorman practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Mark Richard Gorman is 1780680165. The last update date is 2022-08-08.
Mark Richard Gorman's current location address is 10214 N Tatum Blvd Ste B300, Phoenix, Arizona. You can contact this provider via phone number 6029540777. The mailing address for Mark Richard Gorman is 10214 N Tatum Blvd Ste B300, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Richard Gorman |
|---|---|
| Address | 10214 N Tatum Blvd Ste B300, Phoenix, Arizona |
| Phone Number | 6029540777 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1780680165 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2022-08-08 |
Provider Mailing Address Detail
| Address | 10214 N Tatum Blvd Ste B300 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 8502842330 |
| Phone Number | 6029540777 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 69 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 65330 | AZ | BCBSAZ PROVIDER # | |
| 700444 | AZ | AHCCCS |
Post Comment/ Review Below
What is the unique identification code assigned to Mark Richard Gorman by the Centers for Medicare & Medicaid Services?
The Mark Richard Gorman has been issued the NPI (National Provider Identifier) 1780680165. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mark Richard Gorman's physical address?
The Mark Richard Gorman is physically located at 10214 N Tatum Blvd Ste B300, in the city of Phoenix, AZ, with the postal code 8502842330.
What is Mark Richard Gorman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark Richard Gorman is Foot & Ankle Surgery, and the taxonomy code that categorizes this field of expertise is 213Es0103X.
When was the Mark Richard Gorman's 1780680165 issued?
The Mark Richard Gorman's 1780680165 was issued on 2005-06-22.
When was the information related to Mark Richard Gorman most recently updated or refreshed?
The details pertaining to the Mark Richard Gorman, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-08-08.