Individual
JULIE BRODERICK GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
334 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-3464
(859) 578-3400
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(589) 344-5555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53821
KY
208000000X
Pediatrics Physician
53821
KY
Other
Enumeration date
01/29/2016
Last updated
07/28/2020
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