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Individual

DR. DIEGO ALONSO GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1139 E HIGH ST, CHARLOTTESVILLE, VA 22902-4856
(434) 817-8484
(434) 817-8490
Mailing address
1139 E HIGH ST, CHARLOTTESVILLE, VA 22902-4856
(434) 817-8484
(434) 817-8490

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101044147
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005856825
VA
Enumeration date
07/18/2005
Last updated
10/10/2022
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