Individual
DOLORES M GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 521-5277
Mailing address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 521-5277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2001-40
NM
207Q00000X
Family Medicine Physician
29739
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200521039
MEDICARE GROUP
—
Enumeration date
06/05/2006
Last updated
12/04/2012
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