Organization · Type 2 NPI

Ike B. Gorman Dpm., PC

Foot & Ankle Surgery Podiatrist · Tucson, AZ

NPI number 1104095637 Active

Practice location

1500 N Wilmot Rd, Suite A230
Tucson, AZ 85712-4416

Fax (520) 722-0611

Mailing address

PO Box 69040
Tucson, AZ 85737-0009

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X301 (AZ)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1104095637

Ike B. Gorman Dpm., PC's National Provider Identifier is 1104095637, issued on Feb 28, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Tucson, AZ. The record was last updated on May 17, 2011.