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Individual

DR. GREGORY KARL GOMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
216 E 2ND ST, BONNER SPRINGS, KS 66012-1002
(913) 441-0080
(913) 422-3345
Mailing address
216 E 2ND ST, BONNER SPRINGS, KS 66012-1002
(913) 441-0080
(913) 422-3345

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3971
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15283028
BLUE CROSS
KS
01
608942
ACN
KS
01
855513
FIRST HEALTH
KS
Enumeration date
02/05/2007
Last updated
07/08/2007
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