Individual
DR. RICHARD L GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9417 VERLAINE CT, LAS VEGAS, NV 89145-8690
(480) 685-7965
Mailing address
9417 VERLAINE CT, LAS VEGAS, NV 89145-8690
(480) 685-7965
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25188
AZ
207L00000X
Anesthesiology Physician
Primary
8739
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538155759
—
NV
05
—
386111
—
AZ
01
—
V114000
PAC MEDICARE
NV
Enumeration date
09/22/2005
Last updated
12/31/2017
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