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Individual

DR. ROY CLEMENT GOMEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2308 CEDAR VALLEY DR, CEDAR BLUFF, VA 24609-9302
(276) 963-9616
(276) 963-3897
Mailing address
281 LINWOOD DR, RICHLANDS, VA 24641-3606
(276) 963-9616
(276) 963-3897

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101031258
VA
208000000X
Pediatrics Physician
0101031258
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5603722
VA
Enumeration date
03/28/2006
Last updated
10/23/2007
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