Individual
ALBERTO GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
609 W MAPLE AVE, SPRINGDALE, AR 72764-5335
(479) 751-5711
Mailing address
609 W MAPLE AVE, SPRINGDALE, AR 72764-5335
(479) 234-6280
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2023000705
MO
207P00000X
Emergency Medicine Physician
306789
LA
207P00000X
Emergency Medicine Physician
Primary
42486
OK
207Q00000X
Family Medicine Physician
2023000705
MO
207Q00000X
Family Medicine Physician
ME171193
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200076359
—
MO
01
—
26D0446923
CLIA (TCMH)
MO
Enumeration date
05/01/2014
Last updated
01/22/2026
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