Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CONNOR J GORMAN, PA-C
Active Sole ProprietorCONNOR J GORMAN, PA-C is a Medical Physician Assistant healthcare provider located in PHOENIX, Arizona. NPI 1851000731 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · PHOENIX, AZ
Registration Details
- NPI Number
- 1851000731
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2022 (3.7844384950323 yrs)
- Last Updated
- Jul 17, 2023
- Licenses
-
7057360001 (AZ)70349500001 (AZ)7209350001 (AZ)7046960001 (AZ)7047150001 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20860 N TATUM BLVD STE 290PHOENIX, AZ, 850504282Browse AZ providers · Browse ZIP 85050
- Phone
- 4805631144
- Fax
- 4805632371
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Durable Medical Equipment & Medical Supplies
- Additional Specialty
- Durable Medical Equipment & Medical Supplies
- Additional Specialty
- Durable Medical Equipment & Medical Supplies
- Additional Specialty
- Durable Medical Equipment & Medical Supplies
Other Medical Physician Assistant Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| CARL ROBERT VANSELOW | PA | 1730186198 |
| GLADYS A ADAMS | PA-C | 1982603601 |
| RANDALL A PENCE | PA-C | 1770576720 |
| MS. SHERRI LYNN SESSLER | PAC | 1215920269 |
| MARY ISABEL BRADY | PA-C | 1871586834 |
| RUSSELL DODSON | P.A.C. | 1760475354 |
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.