Daniel E Gormley MD a Professional Corporation

NPI #1922101971 in Glendora, California

Provider Information

NPI Number: 1922101971
Entity Type: Organization
Organization Name: Daniel E Gormley MD a Professional Corporation
Primary Specialty: Dermatology
Enumeration Date: Sep 6, 2006
Last Updated: Feb 19, 2008

Practice Location

Address: 412 W CARROLL AVE
Address 2: SUITE #207
City: Glendora
State: California
ZIP Code: 91741-4280
Phone: (626) 963-7684

Authorized Official

Name: DR. DANIEL E GORMLEY, MD
Title: OWNER PRESIDENT
Phone: (626) 963-7684

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology - Dermatopathology — Dermatopathology	207ND0900X
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X
Dermatology	207N00000X	Primary

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