Individual
RAFAEL GOMEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
311 MORROW ST N, MENA, AR 71953-2516
(479) 243-2333
(479) 394-4577
Mailing address
311 MORROW ST N, MENA, AR 71953-2516
(479) 243-2333
(479) 394-4577
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C7819
AR
Other
Enumeration date
05/28/2006
Last updated
07/08/2007
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