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1477974608
RICHARD GOMEZ MD PC
JACKSON, WY
NPI
1477974608
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Entity Type
Organization
Authorized Contact
RICHARD GOMEZ
Owner
480-685-7965
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: WY 9341A)
Enumeration Date
2013-12-13
Last Update Date
2013-12-13
Business Address
RICHARD GOMEZ MD PC
150 BUFFALO WAY
JACKSON, WY 83002-2530
Phone number: 307-733-8677
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Mailing Address
RICHARD GOMEZ MD PC
PO BOX 3706
IDAHO FALLS, ID 83403-3706
Phone number: 208-525-2090
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