Individual
ANDREW THOMAS GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1750 112TH AVE NE STE D258, BELLEVUE, WA 98004-3727
(425) 498-2272
(425) 498-2334
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ML 60478159
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
25MA10430800
NJ
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD60768420
WA
Other
Enumeration date
04/10/2014
Last updated
12/07/2024
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