# RICHARD GOMEZ MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477974608
- **Authorized official:** RICHARD GOMEZ MD (OWNER)
- **Authorized official phone:** (480) 685-7965

## Contact information

- **Practice address:** 150 BUFFALO WAY, JACKSON, WY 83002-2530
- **Practice address phone:** (307) 733-8677
- **Mailing address:** PO BOX 3706, IDAHO FALLS, ID 83403-3706
- **Mailing address phone:** (208) 525-2090
- **Mailing address fax:** (208) 523-8978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 9341A | WY | Yes |

## Other

- **Enumeration date:** 12/13/2013
- **Last updated:** 12/13/2013