Individual
DR. LUIS ALBERTO GOMEZ VACA
Active
Individual
DR. LUIS ALBERTO GOMEZ VACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
71695
GA
207Q00000X
Family Medicine Physician
11016108A
IN
Other
Enumeration date
04/25/2011
Last updated
11/27/2023
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