Healthcare Provider Details

I. General information

NPI: 1083615686
Provider Name (Legal Business Name): CARYL S. GORMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARYL S. GORMAN MD

II. Dates (important events)

Enumeration Date: 08/03/2005
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 S HOUGHTON RD STE 120
TUCSON AZ
85748-0046
US

IV. Provider business mailing address

2300 S HOUGHTON RD STE 120
TUCSON AZ
85748-0046
US

V. Phone/Fax

Practice location:
  • Phone: 520-989-8028
  • Fax: 520-989-8028
Mailing address:
  • Phone: 520-989-8028
  • Fax: 520-989-8028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number21524
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: