Doctor Name: | MR. MARK D GORMAN |
NPI Number: | 1578773982 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CCP |
License Number: | |
Business Practice Address: | 1501 N Campbell Ave Tucson, AZ - 857245071 |
Business Phone Number: | 5206265332 |
Business Fax Number: | |
Mailing Address: | 7589 W Sugar Ranch Rd, TUCSON |
State: | AZ |
Postal Code: | 857431454 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 242T00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Perfusionist |
Taxonomy Specialization: | |
Taxonomy Definition: | A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient |