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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIAN WALLACE DORMAN, MD

Active

BRIAN WALLACE DORMAN, MD is a Urology healthcare provider located in EUREKA, California. NPI 1447278122 is currently active in the NPPES registry. Verify at CMS.

Urology · EUREKA, CA

Registration Details

NPI Number
1447278122
Provider Type
Individual
Gender
Male
NPI Issued
Jul 18, 2006 (20.092063233695 yrs)
Last Updated
Oct 21, 2021
License
G24506 (CA)

Practice Information

Address
2576 RENFREN STREET
EUREKA, CA, 95501
Browse CA providers · Browse ZIP 95501
Phone
7074453257
Fax
7074451027
Primary Specialty
Urology
208800000X

Other Urology Providers in EUREKA, CA

Name Credential NPI
JOHN JOSEPH ALBERTINI MD 1528087632
JAMES KIM BAURIEDEL M.D. 1376699926
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.