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Dr. Mark Richard Gorman, DPM
Foot & Ankle Surgery Podiatrist in Phoenix, Arizona
NPI 1780680165

Mark Richard Gorman is a Foot & Ankle Surgery Podiatrist based in Scottsdale, AZ and is specialized in Foot & Ankle Surgery. Mark Richard Gorman practices in Phoenix, AZ and has the professional credentials of DPM. The NPI Number for Mark Richard Gorman is 1780680165 and holds a License No. 0069 (Arizona).

The current practice location address for Mark Richard Gorman is 10214 N Tatum Blvd Ste B300, Phoenix, AZ and can be reached out via phone at 602-954-0777.

Location: 10214 N Tatum Blvd Ste B300, Phoenix, AZ, 85255-5477
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Provider Profile Details
NPI Number
1780680165
Provider Name
Mark Richard Gorman
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
10214 N Tatum Blvd Ste B300, Phoenix, AZ, 85255-5477
Phone Number
602-954-0777
Fax Number
Provider Enumeration Date
06/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0065330 01 AZ BCBSAZ PROVIDER #
700444 01 AZ AHCCCS
institution
Provider Business Practice Location Address Details
Address
10214 N Tatum Blvd Ste B300
City
State
Zip
85028-4233
Phone Number
602-954-0777
Fax Number
person
Provider Business Mailing Address Details
Address
10214 N Tatum Blvd Ste B300
City
State
Zip
85028-4233
Phone Number
602-954-0777
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
0069 (Arizona)
Definition
Definition to come...
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