Individual
DR. REYDOMINIQUE LUCERO GUMBOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER AMC, DEPT OF ORTHOPAEDIC SURGERY, HONOLULU, HI 96589
(808) 433-3557
Mailing address
5125 SKYLINE RD S, SALEM, OR 97306-9427
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MDR4859
HI
207XS0106X
Orthopaedic Hand Surgery Physician
DR.0061450
CO
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
MD190882
OR
Other
Enumeration date
08/14/2006
Last updated
02/04/2022
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