Organization
RICHARD GOMEZ MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD GOMEZ MD (OWNER)
(480) 685-7965
Entity
Organization
Contact information
Practice address
150 BUFFALO WAY, JACKSON, WY 83002-2530
(307) 733-8677
Mailing address
PO BOX 3706, IDAHO FALLS, ID 83403-3706
(208) 525-2090
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9341A
WY
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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