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Individual

GENE MICHAEL GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4238 AUBURN WAY N, AUBURN, WA 98002-1311
(253) 876-7600
(253) 876-7610
Mailing address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8400

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
8526911-1205
UT
2084P0800X
Psychiatry Physician
Primary
MD60480708
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1720033376
UT
Enumeration date
05/23/2006
Last updated
03/17/2018
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