| Doctor Name: | CARYL S. GORMAN |
| NPI Number: | 1083615686 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 21524 |
| Business Practice Address: | 20401 N 73rd St Suite 255 Scottsdale, AZ - 852554107 |
| Business Phone Number: | 4803231880 |
| Business Fax Number: | |
| Mailing Address: | Po Box 31630, TUCSON |
| State: | AZ |
| Postal Code: | 857511630 |
| Phone Number: | 5207846200 |
| Fax Number: | 5207846109 |
| NPI Enumeration Date: | 08/03/2005 |
| NPI Last Update Date: | 09/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 21524 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |