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Individual

DR. EDMUND GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1115 RONALD REAGAN PKWY, SUITE 266, AVON, IN 46123-6910
(317) 209-2000
(317) 209-2010
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01038627A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100218170
IN
01
P01575974
RAILROAD MEDICARE
IN
Enumeration date
02/27/2006
Last updated
12/17/2021
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