Organization
KELLY A GOMEZ DPM PC
Active
Organization
KELLY A GOMEZ DPM PC
Active
Other names
Rocky Mountain Foot and Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ALLAN GOMEZ DPM (OWNER/PRESIDENT)
(801) 375-6677
Entity
Organization
Contact information
Practice address
777 N 500 W, SUITE 105, PROVO, UT 84601-1541
(801) 375-6677
Mailing address
777 N 500 W, SUITE 105, PROVO, UT 84601-1541
(801) 375-6677
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
367951
UT
Other
Enumeration date
08/15/2008
Last updated
07/02/2009
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