Individual
GUSTAVO GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1550 N 115TH ST, SEATTLE, WA 98133-8401
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD462193
PA
207Q00000X
Family Medicine Physician
MD61270783
WA
207Q00000X
Family Medicine Physician
MT209093
PA
207R00000X
Internal Medicine Physician
MD61270783
WA
208M00000X
Hospitalist Physician
Primary
MD61270783
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2210184
—
WA
Enumeration date
05/21/2015
Last updated
10/27/2022
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